Page (PDF) | 17 |
---|---|
Certificate Number | 36097 |
Name of Deceased | Costin, Alice |
Place of Death | Worcester |
Town of Death | Pocomoke |
Sex | F |
Race | blk |
Married, Widowed, or Single | x |
Date of Birth | x |
Age (year, month, days) | abt 52 yrs |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Levin Mills |
Father's Birthplace | Md |
Mother's Name | Jane Costen |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Charles Costen; Pocomoke #5 |
Date of Death | 12/31/1917 |
Cause of Death and Time Attended by Doctor | organic ? Of the heart; 2 yrs |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | SC Oglesby, MD; Girdletree |
Burial Place, Date, Undertaker, and Address | Pinto Cemetery near Pocomoke; 1/2//1918; CH Ballard & Bros; 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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