| Page (PDF) | 9 |
|---|---|
| Certificate Number | 11971 |
| Name of Deceased | Collins, Eva |
| Place of Death | Somerset |
| Town of Death | Chance |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | - |
| Date of Birth | 6/8/1913 |
| Age (year, month, days) | 2 yrs 1 mos 20 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Alexander Collins |
| Father's Birthplace | Md |
| Mother's Name | Lillie Wright |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Alexander Collins; Chance |
| Date of Death | 7/28/1915 |
| Cause of Death and Time Attended by Doctor | accident, drinking lye |
| Immediate, Secondary, or Contributory Cause and How Long | gastritis acute |
| Physician and Address | EP Simpson; Chance |
| Burial Place, Date, Undertaker, and Address | Chance; 7/29/1915; LG Webster; Deals Is |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | – |
If you are citing this record, please use the following format:
[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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