| Page (PDF) | 5 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, James T. |
| Place of Death | Worcester |
| Town of Death | Near Pocomoke |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | – |
| Age (year, month, days) | 6 mos |
| Occupation or Employer | child |
| Birthplace | Maryland |
| Father's Name | Hamplin Collins |
| Father's Birthplace | Virginia |
| Mother's Name | Mury Merrill |
| Mother's Birthplace | unknown |
| Informant (Relationship and Address) | Hamplin Collins, father |
| Date of Death | 6/21/1910 |
| Cause of Death and Time Attended by Doctor | Surviver Camplaint |
| Immediate, Secondary, or Contributory Cause and How Long | Surviver complaint |
| Physician and Address | no physician |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | - |
| Other Notes | Golman Hilliner, Local Register |
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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