| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, Rosetta |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | F |
| Race | Blk |
| Married, Widowed, or Single | Widow |
| Date of Birth | Don't know |
| Age (year, month, days) | Old aged but don't know exactly |
| Occupation or Employer | Housewife (housework) |
| Birthplace | Fairmount, Md |
| Father's Name | Caesor Sudler |
| Father's Birthplace | Fairmount Md |
| Mother's Name | Charlotte Waters |
| Mother's Birthplace | Fairmount Md |
| Informant (Relationship and Address) | Chas Collins, Crisfield, Md |
| Date of Death | 3/29/1912 |
| Cause of Death and Time Attended by Doctor | Bronchitis and Senile debility, 1 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | W H Coulbourne, Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | R J Adrium undertaker, 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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