Edward H. Nabb Research Center for Delmarva History & Culture Enduring Connections: Exploring Delmarva's Black History

Record Detail

Record #5997 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922

Page (PDF) 15
Certificate Number 2079
Name of Deceased Collins, Jake
Place of Death Worcester
Town of Death Stockton
Sex M
Race colored
Married, Widowed, or Single married
Date of Birth unknown
Age (year, month, days) abt 54 yrs
Occupation or Employer laboror; farm work
Birthplace Maryland
Father's Name unknown
Father's Birthplace unknown
Mother's Name Grace Wise
Mother's Birthplace Maryland
Informant (Relationship and Address) Edward Justice; Stockton Md
Date of Death 2/2/1922
Cause of Death and Time Attended by Doctor no physician attenden. Been sick abt 1 yrs. Tuberculosis was cause
Immediate, Secondary, or Contributory Cause and How Long
Physician and Address WO Rayne; Stockton Md
Burial Place, Date, Undertaker, and Address Old St Paul Cem; 2/4/1922; FA Cal Singlton?; New Church Va
Length of Residence, Where Disease Contracted, Former Residence
Other Notes

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[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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