| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Costen, Hattie |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | F |
| Race | African |
| Married, Widowed, or Single | Single |
| Date of Birth | 3/4/1905 |
| Age (year, month, days) | 22 yrs |
| Occupation or Employer | cook / general house work |
| Birthplace | Westover |
| Father's Name | George Costen |
| Father's Birthplace | Worcester Co. |
| Mother's Name | Amanda Ballard |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | George Costen Princess Anne, Md |
| Date of Death | 9/22/1922 |
| Cause of Death and Time Attended by Doctor | Tuberculosis 2 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | Dyspnaea 5/1912 - Sept 1912 |
| Physician and Address | Chas W. Wainwright Princess Anne |
| Burial Place, Date, Undertaker, and Address | Custis 9/23/1912 James J Dennis Princess Anne, 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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