| Page (PDF) | 19 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, Daniel James |
| Place of Death | Somerset |
| Town of Death | Fairmount |
| Sex | M |
| Race | Blk |
| Married, Widowed, or Single | M |
| Date of Birth | don't know |
| Age (year, month, days) | about 77 yrs |
| Occupation or Employer | Labourer |
| Birthplace | Somerset Co |
| Father's Name | John Henry Collins |
| Father's Birthplace | Somerset |
| Mother's Name | Susan Collins |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | J.E. Johnson Sr, Fairmount, Md |
| Date of Death | 1/18/1911 |
| Cause of Death and Time Attended by Doctor | Diabetes, 2 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | Diabetes, 2 yrs |
| Physician and Address | G.E Dickinson, Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | O Fellows Cemetery, Jan. 20, 1911, J.T.S. Dickson, undertaker Up Fairmount |
| 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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