Record #225 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	7
Certificate Number	–
Name of Deceased	Collins, Everet
Place of Death	Somerset
Town of Death	Marumeco
Sex	M
Race	Colored
Married, Widowed, or Single	S
Date of Birth	–
Age (year, month, days)	16 yrs 6 mos
Occupation or Employer	Laborer - Sawmill
Birthplace	Somerset Co., Md
Father's Name	George Collins
Father's Birthplace	Worcester Co
Mother's Name	Martha Jackson
Mother's Birthplace	Somerset Co
Informant (Relationship and Address)	E. Thos. Kenney
Date of Death	12/10/1910
Cause of Death and Time Attended by Doctor	Diphtheria, 14 days
Immediate, Secondary, or Contributory Cause and How Long	Exhaustion, 3 days
Physician and Address	T. W. Wilson, Pocomoke City, Md
Burial Place, Date, Undertaker, and Address	–
Length of Residence, Where Disease Contracted, Former Residence	-
Other Notes	–

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[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.

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