Page (PDF) | 11 |
---|---|
Certificate Number | 15896 |
Name of Deceased | Collins, Rella |
Place of Death | Wicomico |
Town of Death | near Salisbury |
Sex | F |
Race | AA |
Married, Widowed, or Single | single |
Date of Birth | 9/1918 |
Age (year, month, days) | 1 yrs 11 mos |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | John Collins |
Father's Birthplace | Ewel Taylor |
Mother's Name | Maryland |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | John Collins; RFD 3 |
Date of Death | 8/9/1918 |
Cause of Death and Time Attended by Doctor | cherrosus of liver and enteritis |
Immediate, Secondary, or Contributory Cause and How Long | hereditary syphilis; 23 mos |
Physician and Address | JW Roberts; Salisbury md |
Burial Place, Date, Undertaker, and Address | Taylors Gate; 8/10/1918; Jas F Stewart; Salibsury 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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