| Page (PDF) | 11 |
|---|---|
| Certificate Number | 10216 |
| Name of Deceased | Collins, [not named] |
| Place of Death | Somerset |
| Town of Death | near Pocomoke city |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 6/17/1917 |
| Age (year, month, days) | 1 hr |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Henry Collins |
| Father's Birthplace | Md |
| Mother's Name | Lutishey Tull |
| Mother's Birthplace | Va |
| Informant (Relationship and Address) | Henry Collins; Pocomoke |
| Date of Death | 6/17/1917 |
| Cause of Death and Time Attended by Doctor | 7 mos child, lived 1 hr |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | AA?; Pocomoke City |
| Burial Place, Date, Undertaker, and Address | Christ ME; 6/18/1917; Ballard Bros; Pocomoke |
| 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.