| Page (PDF) | 11 |
|---|---|
| Certificate Number | 191981 |
| Name of Deceased | Collic, Aillie |
| Place of Death | Worcester |
| Town of Death | Girdletree md |
| Sex | M |
| Race | colorted |
| Married, Widowed, or Single | single |
| Date of Birth | 7/6/1903 |
| Age (year, month, days) | 11 yrs 4 mos 10 ds |
| Occupation or Employer | none |
| Birthplace | Girdletree |
| Father's Name | John Collic |
| Father's Birthplace | Worcester |
| Mother's Name | Hattie Rowley |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Horace Harmon; Girdletree, Md |
| Date of Death | 11/14/1914 |
| Cause of Death and Time Attended by Doctor | perforation of bowell with peritonitis ; typhoid fever |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | SC O? Girdletree Md |
| Burial Place, Date, Undertaker, and Address | Coldspring? Cemetery; 11/16/1914; WS Williams; Snow Hill |
| 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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