| Page (PDF) | 15 |
|---|---|
| Certificate Number | 17579 |
| Name of Deceased | Cottman, Daisy |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 4/26/1903 |
| Age (year, month, days) | 18 yrs 6 mos 11 ds |
| Occupation or Employer | housework |
| Birthplace | Md |
| Father's Name | James Steward |
| Father's Birthplace | Md |
| Mother's Name | Harriett Cottman |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Harriett Cottman; Marion Md |
| Date of Death | 11/4/1921 |
| Cause of Death and Time Attended by Doctor | peritonitis; 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | ruptured appendix; 3 ds |
| Physician and Address | IAB Allen; Marion Md |
| Burial Place, Date, Undertaker, and Address | Curtis Chapel; 11/6/1921; tilghman & Ward; Marion 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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