| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, Infant |
| Place of Death | Worcester |
| Town of Death | Stockton |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Infant |
| Date of Birth | 6/29/1911 |
| Age (year, month, days) | not over 1/2 hour |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | John Collins |
| Father's Birthplace | Maryland |
| Mother's Name | Mary Mason |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Collins, Father, Stockton, Md |
| Date of Death | 6/29/1911 |
| Cause of Death and Time Attended by Doctor | No physician attended |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | – |
| Burial Place, Date, Undertaker, and Address | Old St Paul, 6/29/1911, Geo H Rowley, Stockton, 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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