| Page (PDF) | 11 |
|---|---|
| Certificate Number | 4262 |
| Name of Deceased | Cottman, still born |
| Place of Death | Somerset |
| Town of Death | Cokesbury |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 3/15/1921 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Cokesbury |
| Father's Name | Clarence J Long |
| Father's Birthplace | Somerset |
| Mother's Name | Mary B Cottman |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Clarence J Long; Cokesbury Md |
| Date of Death | 3/15/1921 |
| Cause of Death and Time Attended by Doctor | still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Samuel L Scott; Pocomoke Md |
| Burial Place, Date, Undertaker, and Address | Tinleys Chapel; 3/15/1921; Ballard Bros; Pocomoke Md RD |
| 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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