| Page (PDF) | 3 |
|---|---|
| Certificate Number | 5239 |
| Name of Deceased | Ballard, James Henry |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | Negro |
| Married, Widowed, or Single | single |
| Date of Birth | 10/31/1911 |
| Age (year, month, days) | 1 yr 5 mos 10 ds |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | James H. Ballard |
| Father's Birthplace | Md |
| Mother's Name | Rosa Williams |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | James H. Ballard; Back St |
| Date of Death | 4/11/1913 |
| Cause of Death and Time Attended by Doctor | Double Lobar Pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | shortness of breath |
| Physician and Address | WJ Barkley; 208 N 4th St. |
| Burial Place, Date, Undertaker, and Address | Wesley Church Cemetery; 4/12/1913; J S Lawson; Crisfield |
| 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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