| Page (PDF) | 5 |
|---|---|
| Certificate Number | 25808 |
| Name of Deceased | Ballard, Lola |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 1/19/1917 |
| Age (year, month, days) | 9 mos 12 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | John W Ballard |
| Father's Birthplace | Md |
| Mother's Name | Lottie Kirkwood |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John W Ballard; Princess Anne, Md |
| Date of Death | 11/1/1917 |
| Cause of Death and Time Attended by Doctor | bronchial pneumonia; not preceded by an infectious disease; 7 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Harlan A Cuff; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Curtis Chapel; 11/2/1917; James I Dennis; Princess 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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