Page (PDF) | 11 |
---|---|
Certificate Number | 15914 |
Name of Deceased | Collins, [not named] |
Place of Death | Somerset |
Town of Death | Crisfield |
Sex | M |
Race | black |
Married, Widowed, or Single | x |
Date of Birth | 10/15/1921 |
Age (year, month, days) | x |
Occupation or Employer | not any |
Birthplace | Crisfield |
Father's Name | Andrew James Collins |
Father's Birthplace | Maryland |
Mother's Name | Sarah Fields |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Sarah Fried? |
Date of Death | x |
Cause of Death and Time Attended by Doctor | Sarah Collins; Westover Md |
Immediate, Secondary, or Contributory Cause and How Long | case ectopic gestation. Dead born by a laporatoun? |
Physician and Address | Geoege C Coulbourn; Marion Md |
Burial Place, Date, Undertaker, and Address | hospital lab; 10/15/1921; Wm Hodge; Crisfield Md |
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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