| Page (PDF) | 9 |
|---|---|
| Certificate Number | 881 |
| Name of Deceased | Collins, Denver L |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | 3/19/1900 |
| Age (year, month, days) | 21 yrs 9 mos 21 ds |
| Occupation or Employer | laborer on farm |
| Birthplace | Maryland |
| Father's Name | Elmo Hayward |
| Father's Birthplace | Maryland |
| Mother's Name | Mary L Corbin |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Mary L Corbin; RD4 Salisbury Md |
| Date of Death | 1/10/1922 |
| Cause of Death and Time Attended by Doctor | lobar pneumonia; 11 ds |
| Immediate, Secondary, or Contributory Cause and How Long | exhaustion? |
| Physician and Address | DB Potter; Salisbury |
| Burial Place, Date, Undertaker, and Address | Hutts Chapel Worcester; 1/12/1922; Holloway & co; Salisbury 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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