| Page (PDF) | 19 |
|---|---|
| Certificate Number | 9725 |
| Name of Deceased | Collins, John Frank |
| Place of Death | Somerset |
| Town of Death | near Westover |
| Sex | M |
| Race | African |
| Married, Widowed, or Single | married |
| Date of Birth | unknown |
| Age (year, month, days) | 62 yrs |
| Occupation or Employer | farmer |
| Birthplace | Someset |
| Father's Name | Peter Collins |
| Father's Birthplace | Somerset |
| Mother's Name | Leah Steward |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Geo F Ballard; Westover Md |
| Date of Death | 6/28/1921 |
| Cause of Death and Time Attended by Doctor | dysentery; acute from imprudent eating. Catarrhal probably in type |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Chas W Wainwright; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Curtis Chapel; 6/30/1921; James I Dennis; P Anne |
| 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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