| Page (PDF) | 5 |
|---|---|
| Certificate Number | 909 |
| Name of Deceased | Collins, still born child |
| Place of Death | Somerset |
| Town of Death | near Pr Anne |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | - |
| Date of Birth | 1/13/1915 |
| Age (year, month, days) | still born |
| Occupation or Employer | - |
| Birthplace | Somerset |
| Father's Name | John Collins |
| Father's Birthplace | Somerset |
| Mother's Name | Hester Adams |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Riley Curtis; Penninsula Junction Md |
| Date of Death | 1/13/1912 |
| Cause of Death and Time Attended by Doctor | stillborn |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Lizzie G Smith; Pr Anne Md |
| Burial Place, Date, Undertaker, and Address | Ings Creek; 1/13/1915; Riley Custis; Peninsula Junction |
| 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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