| Page (PDF) | 11 |
|---|---|
| Certificate Number | 6030 |
| Name of Deceased | Collins, Wm |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 4/9/1914 |
| Age (year, month, days) | 2 mos 10 ds |
| Occupation or Employer | - |
| Birthplace | Somerset |
| Father's Name | Wm Collins |
| Father's Birthplace | Someset |
| Mother's Name | Rose Dashiell |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Wm Collins; Princess Anne |
| Date of Death | 6/19/1914 |
| Cause of Death and Time Attended by Doctor | probably broncho pneumonia; 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | J Smith; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Princess Anne; 6/20/1914; Wm James; Princess Anne |
| 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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