| Page (PDF) | 15 |
|---|---|
| Certificate Number | 61179 |
| Name of Deceased | Custus, Emma |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | 1878 |
| Age (year, month, days) | 40 yrs |
| Occupation or Employer | housewife |
| Birthplace | Maryland |
| Father's Name | John Maddox |
| Father's Birthplace | Maryland |
| Mother's Name | Lizzie Maddox |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Oliver Custus; Upper Fairmount |
| Date of Death | 12/4/1918 |
| Cause of Death and Time Attended by Doctor | diabetis melitus; abt 6 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Greenmount Cemetery; 12/6/1918; Herbert Wilson; Up Fairmount |
| 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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