| Page (PDF) | 13 |
|---|---|
| Certificate Number | 4441 |
| Name of Deceased | Collins, Le Roy |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 3/7/1916 |
| Age (year, month, days) | 6 yrs |
| Occupation or Employer | x |
| Birthplace | Worcester |
| Father's Name | Sam Collins |
| Father's Birthplace | Worcester |
| Mother's Name | Alice Collins |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | JC Stevenson; Pocomoke Md |
| Date of Death | 3/16/1914 |
| Cause of Death and Time Attended by Doctor | exhaustion; 1 mos |
| Immediate, Secondary, or Contributory Cause and How Long | malnutrutis .?.... |
| Physician and Address | TM Wilson; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Halls Hill & Pocomoke; 3/17/1921; Stevenson & Bros; Pocomoke |
| 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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