| Page (PDF) | 17 |
|---|---|
| Certificate Number | 10177 |
| Name of Deceased | Collins, still born |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | blk |
| Married, Widowed, or Single | single |
| Date of Birth | 7/10/1913 |
| Age (year, month, days) | - |
| Occupation or Employer | - |
| Birthplace | x |
| Father's Name | Orbie Collins |
| Father's Birthplace | Md |
| Mother's Name | Ida Whealton |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Orbie Collins; Pocomoke City Md |
| Date of Death | 7/10/1913 |
| Cause of Death and Time Attended by Doctor | still born; never saw child |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | AA Parker; Pocomoke |
| Burial Place, Date, Undertaker, and Address | near Aydelotte farm; 7/11/1913; Chrs Ballard; 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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