Page (PDF) | 13 |
---|---|
Certificate Number | 18769 |
Name of Deceased | Collick, Nattie Lee?? |
Place of Death | Worcester |
Town of Death | near Pocomoke |
Sex | F |
Race | colored |
Married, Widowed, or Single | x |
Date of Birth | 8/8/1914 |
Age (year, month, days) | 3 mos 18 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Bernie Collick |
Father's Birthplace | Md |
Mother's Name | Bessie Jones |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Robt Burketts; Snow Hill Rd |
Date of Death | 11/25/1919 |
Cause of Death and Time Attended by Doctor | weak & sick since its birth; could not get to Dr |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | ES Hargis; register; Pocomoke |
Burial Place, Date, Undertaker, and Address | Johnson ..? Cemetery near Pocomoke; 11/267/1919; Moses Burketts; Snow Hilll RD |
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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