| Page (PDF) | 11 |
|---|---|
| Certificate Number | 918 |
| Name of Deceased | Collins, Clement |
| Place of Death | Worcester |
| Town of Death | Pocomoke; Ba? St |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | ? |
| Age (year, month, days) | abt 25 yrs |
| Occupation or Employer | laborer |
| Birthplace | Worcester |
| Father's Name | Frank collins |
| Father's Birthplace | Md |
| Mother's Name | Ocea Gunby |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Celia Fisher; Pocomoke |
| Date of Death | 1/23/1922 |
| Cause of Death and Time Attended by Doctor | exhaustion |
| Immediate, Secondary, or Contributory Cause and How Long | pulmonary tuberculosis; 3 mos |
| Physician and Address | TM Wilson; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Hall Hill nr Pocomoke; 1/27/1922; Ch Ballard Co; Pocomoke |
| 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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