| Page (PDF) | 11 |
|---|---|
| Certificate Number | 5405 |
| Name of Deceased | Costen, Amanda |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | 1857 |
| Age (year, month, days) | 59 yrs |
| Occupation or Employer | housework |
| Birthplace | Md |
| Father's Name | George Ballard |
| Father's Birthplace | Md |
| Mother's Name | Harriet Ballard |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Lambert Williams; Westover |
| Date of Death | 4/19/1916 |
| Cause of Death and Time Attended by Doctor | pulmonary tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Chas F Fisher; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Curtis; 4/21/1916; Wm James; Pr 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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