| Page (PDF) | 3 |
|---|---|
| Certificate Number | 15846 |
| Name of Deceased | Ballard, Kate |
| Place of Death | Somerset |
| Town of Death | Doublin Dist |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 8/6/1915 |
| Age (year, month, days) | 2 mos |
| Occupation or Employer | none |
| Birthplace | Somerset |
| Father's Name | Harrie White |
| Father's Birthplace | Md |
| Mother's Name | Edith Ballard |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Henry Wilson; Princess Anne |
| Date of Death | 9/29/1915 |
| Cause of Death and Time Attended by Doctor | probably pneumonia; no dr |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GJ Smith; x |
| Burial Place, Date, Undertaker, and Address | Doublin Dist; 9/30/1915; Geo Corbin; 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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