Page (PDF) | 3 |
---|---|
Certificate Number | 6729 |
Name of Deceased | Ballard, Trader |
Place of Death | Wicomico |
Town of Death | Salisbury (P.G. Hospital, 13 Ward) |
Sex | M |
Race | Colored |
Married, Widowed, or Single | Single |
Date of Birth | 4/11/1917 |
Age (year, month, days) | X |
Occupation or Employer | X |
Birthplace | Salisbury Md |
Father's Name | Geo. W. Ballard |
Father's Birthplace | Somerset Co, Md |
Mother's Name | Rececca Bell |
Mother's Birthplace | Somerset Co, Md |
Informant (Relationship and Address) | Eeliza Bell, Princess Anne, Md |
Date of Death | 4/11/1917 |
Cause of Death and Time Attended by Doctor | Transverse presentative |
Immediate, Secondary, or Contributory Cause and How Long | unknown |
Physician and Address | J M Edwin, M.D., Salisbury, Md |
Burial Place, Date, Undertaker, and Address | Princess Anne Md 4/12/1917 Geo. W. Smith 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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