Page (PDF) | 25 |
---|---|
Certificate Number | 10088 |
Name of Deceased | Colllick, Milton W |
Place of Death | Worcester |
Town of Death | Stockton |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 12/7/1915 |
Age (year, month, days) | 7 mos 22 ds |
Occupation or Employer | none |
Birthplace | Maryland |
Father's Name | Prettyman Jacobs |
Father's Birthplace | Maryland |
Mother's Name | Lottee Collick |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Alic Allen; Stockton Md |
Date of Death | 7/28/1916 |
Cause of Death and Time Attended by Doctor | no physician attended; cause of death unknown; never was well |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | WO Payne; Stockton Md |
Burial Place, Date, Undertaker, and Address | Stockton St Paul Cemetary; 7/29/1916; Rowley & Purnell; Stockton Md |
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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