| Page (PDF) | 17 |
|---|---|
| Certificate Number | 11686 |
| Name of Deceased | (Collins), infant |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 6/20/1920 |
| Age (year, month, days) | stillborn |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | George R Collisn |
| Father's Birthplace | Md |
| Mother's Name | Sarah Manuel |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Abbie Coston; Pocomoke RD |
| Date of Death | 6/20/1920 |
| Cause of Death and Time Attended by Doctor | still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ES Hargis, local registrar; Pocomke |
| Burial Place, Date, Undertaker, and Address | Shilo Cemetery, near Pocomoke; 6/20/1920; Riley Williams; Snow Hill #3 |
| 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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