| Page (PDF) | 19 |
|---|---|
| Certificate Number | 11925 |
| Name of Deceased | Collins, Charles T |
| Place of Death | Somerset |
| Town of Death | Crisfield; 1230 S Fourth St |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | widower |
| Date of Birth | unknown |
| Age (year, month, days) | unknown |
| Occupation or Employer | laborer & domestic |
| Birthplace | Fairmount Md |
| Father's Name | Stephen Collins |
| Father's Birthplace | Fairmount Md |
| Mother's Name | Rose x |
| Mother's Birthplace | Fairmount Md |
| Informant (Relationship and Address) | x |
| Date of Death | 7/26/1917 |
| Cause of Death and Time Attended by Doctor | nephritis; mitral reguritation; chronic nephritis |
| Immediate, Secondary, or Contributory Cause and How Long | general asthema |
| Physician and Address | Wm H. Coulbourn, Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | Asberyy; 7/27/1917; GO Brown; Crisfield 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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