Page (PDF) | 19 |
---|---|
Certificate Number | 5096 |
Name of Deceased | Collins, Fletcher (colored) |
Place of Death | Wicomico |
Town of Death | Pittsville |
Sex | x |
Race | colord |
Married, Widowed, or Single | married |
Date of Birth | 3/8/1918 |
Age (year, month, days) | 43 yrs 5 mos 16 ds |
Occupation or Employer | farming |
Birthplace | Virginia |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | unknown |
Mother's Birthplace | unknown |
Informant (Relationship and Address) | Nancy Collins; Pittsville Md |
Date of Death | 3/8/1918 |
Cause of Death and Time Attended by Doctor | chronic parenchynoton nephritis; 3 yrs |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | L O Freeny; Pittsville Md |
Burial Place, Date, Undertaker, and Address | Glass Hill Cemetary; 3/9/1918; JR Farlow; Willards, Md |
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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