Infant of Annabelle Collins (21582)

Item

Official death certificate for Infant of Annabelle Collins. Identifier number 21582.

Title

Infant of Annabelle Collins (21582)

Description

Death certificate for Infant of Annabelle Collins. Born 08-02-1921. Died 08-02-1921.

Identifier

21582

County of Death

Ware

Registration District No.

1231

Last Name

Collins

Gender

Female

Color or Race

Col [Colored]

Marital Status

Single

Date of Birth

August 2, 1921

Birthplace

Ga [Georgia]

Name of Father

D.K. [Don't Know]

Birthplace of Father

D.K. [Don't Know]

Maiden Name of Mother

Annabelle Collins

Birthplace of Mother

Ga [Georgia]

Informant

A. C. Colson, M.D. [from handwriting]

Informant Address

Waycross

Date Filed

August 18, 1921

Registrar

J. R. Scully

Date of Death

August 2, 1921 06:00

Cause of Death

Stillborn

Medical Doctor

A. C. Colson, M.D.

Date of Doctor’s Signature

August 2, 1921

Medical Doctor Address

Waycross

Place of Burial

Red Hill Cemetery

Date of Burial

August 2, 1921

Undertaker

Parents

Address of Undertaker

Waycross

International List of Causes of Death