| Page (PDF) | 3 |
|---|---|
| Certificate Number | 6380 |
| Name of Deceased | Colic, infant |
| Place of Death | Worcester |
| Town of Death | Bishopville |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 4/18/1921 |
| Age (year, month, days) | 4 ds |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Randy L Colick |
| Father's Birthplace | Md |
| Mother's Name | Theresa Collins? |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Cornealia Wafler; Bishopville Md |
| Date of Death | 4/22/1921 |
| Cause of Death and Time Attended by Doctor | I saw the infant as state above (4/21/21) seemed to be all right, I suppose death was due to heart failure |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | R ? Bishopville Md |
| Burial Place, Date, Undertaker, and Address | near William ville?; 4/22/1921; Chas Smack; Selbyville DE |
| 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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