Page (PDF) | 21 |
---|---|
Certificate Number | – |
Name of Deceased | Cottman, Charlotte |
Place of Death | Somerset |
Town of Death | Country |
Sex | F |
Race | Black |
Married, Widowed, or Single | M |
Date of Birth | Don't know |
Age (year, month, days) | about 70 yrs |
Occupation or Employer | Housekeeping |
Birthplace | Somerset |
Father's Name | Don't know |
Father's Birthplace | - |
Mother's Name | Elsie Robinson |
Mother's Birthplace | Don't Know |
Informant (Relationship and Address) | Geo Cottman, Princess Anne R.F.D. |
Date of Death | 1/14/1911 |
Cause of Death and Time Attended by Doctor | No Dr in attendance |
Immediate, Secondary, or Contributory Cause and How Long | Supposed to be general break down, been complaining 4 or 5 weeks |
Physician and Address | T J Smith, M.D. (not in attendance) Princess Anne, Md |
Burial Place, Date, Undertaker, and Address | Allen, Md, Jan 16, 1911, James I Dennis, undertaker Princess Anne |
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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