| Page (PDF) | 11 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, Alice |
| Place of Death | Worcester |
| Town of Death | Pocomoke City |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | Married |
| Date of Birth | Don't know |
| Age (year, month, days) | 64 yrs |
| Occupation or Employer | House wife |
| Birthplace | Maryland |
| Father's Name | not known |
| Father's Birthplace | not known |
| Mother's Name | Lydia Lane |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Major Costin, Pocomoke City, Md |
| Date of Death | 9/11/1911 |
| Cause of Death and Time Attended by Doctor | Dysentary, 1 mos 5 days |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | N.E. Sartorius, M.D., Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | x |
| 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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