| Page (PDF) | 19 |
|---|---|
| Certificate Number | 10036 |
| Name of Deceased | Collins, Richard E |
| Place of Death | Wicomico |
| Town of Death | Salisbury 607 Rene St |
| Sex | M |
| Race | AA |
| Married, Widowed, or Single | single |
| Date of Birth | 7/8/1916 |
| Age (year, month, days) | 1/2 hr |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | RE Collins |
| Father's Birthplace | Seaford Delaware |
| Mother's Name | Ariola? Wailes |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Richard E Collins; Salisbury, Md |
| Date of Death | 7/8/1916 |
| Cause of Death and Time Attended by Doctor | syphilitic infant from abt 7 mos period; lived 1/2 hr |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JW Roberts; Salisbury |
| Burial Place, Date, Undertaker, and Address | Salisbury Cemetery; 7/9/1916; JF Stewart; Salisbury |
| 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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