| Page (PDF) | 3 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, George |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | M |
| Date of Birth | – |
| Age (year, month, days) | 74 yrs |
| Occupation or Employer | Laborer |
| Birthplace | Maryland |
| Father's Name | Peter Collins |
| Father's Birthplace | Unknown |
| Mother's Name | Eliza Collins |
| Mother's Birthplace | Unknown |
| Informant (Relationship and Address) | Nancy Collins, wife |
| Date of Death | 11/7/1910 |
| Cause of Death and Time Attended by Doctor | – |
| Immediate, Secondary, or Contributory Cause and How Long | Bright's disease, 5 years |
| Physician and Address | H.A. Barnes, Princess Anne, R.F.D. #2, Md |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | - |
| Other Notes | spouse: Nancy Collnis |
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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