| Page (PDF) | 11 |
|---|---|
| Certificate Number | 15914 |
| Name of Deceased | Collins, [not named] |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 10/15/1921 |
| Age (year, month, days) | x |
| Occupation or Employer | not any |
| Birthplace | Crisfield |
| Father's Name | Andrew James Collins |
| Father's Birthplace | Maryland |
| Mother's Name | Sarah Fields |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Sarah Fried? |
| Date of Death | x |
| Cause of Death and Time Attended by Doctor | Sarah Collins; Westover Md |
| Immediate, Secondary, or Contributory Cause and How Long | case ectopic gestation. Dead born by a laporatoun? |
| Physician and Address | Geoege C Coulbourn; Marion Md |
| Burial Place, Date, Undertaker, and Address | hospital lab; 10/15/1921; Wm Hodge; Crisfield 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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