| Page (PDF) | 9 |
|---|---|
| Certificate Number | 9711 |
| Name of Deceased | Cottman, Rosa |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 10/22/1891 |
| Age (year, month, days) | 23 yrs 7 mos 11 ds |
| Occupation or Employer | maid |
| Birthplace | Maryland |
| Father's Name | John Sam Cvottman |
| Father's Birthplace | Maryland |
| Mother's Name | Cornelia Ballard |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Sam; Cottman; Westover Md |
| Date of Death | 6/5/1915 |
| Cause of Death and Time Attended by Doctor | pleurisy & peritonitis (tuberculosis) 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Henry M Lankford; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Custis; 6/6/1915; Herbert Wilson; 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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