| Page (PDF) | 7 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, Odessa |
| Place of Death | Somerset |
| Town of Death | Chance Md |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | - |
| Date of Birth | 6/8/1912 |
| Age (year, month, days) | 1 mos 23 days |
| Occupation or Employer | - |
| Birthplace | Som. Co. |
| Father's Name | Alexander Collins |
| Father's Birthplace | Som. Co. |
| Mother's Name | Lillie Wright |
| Mother's Birthplace | Som Co |
| Informant (Relationship and Address) | Alexander Collins, Chance, Md |
| Date of Death | 7/31/1912 |
| Cause of Death and Time Attended by Doctor | Ileo_colitis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | S. J. Windsor, M.D., Dames 1/4, Md |
| Burial Place, Date, Undertaker, and Address | Chance, Md 7/31/1912 L. G. Webster undertaker, Deals Island 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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