| Page (PDF) | 3 |
|---|---|
| Certificate Number | 25807 |
| Name of Deceased | Ballard, Annie |
| Place of Death | Somerset |
| Town of Death | near Pr Anne |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 8/26/1917 |
| Age (year, month, days) | 2 mos 21 ds |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Henry Ballard |
| Father's Birthplace | Somerset |
| Mother's Name | Anne Turpin |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | father; Princess Anne Md |
| Date of Death | 11/3/1917 |
| Cause of Death and Time Attended by Doctor | marasumas; 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; not in attendance; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Curtis; 11/4/1917; Wm James; P 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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