| Page (PDF) | 1 |
|---|---|
| Certificate Number | 7004 |
| Name of Deceased | Ballard, unnamed |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | infant |
| Date of Birth | 4/23/1918 |
| Age (year, month, days) | 1/2 hour |
| Occupation or Employer | infant |
| Birthplace | Pocomoke |
| Father's Name | Fred Ballard |
| Father's Birthplace | Pocomoke Md |
| Mother's Name | Hester F Costen |
| Mother's Birthplace | Pocomoke City Md |
| Informant (Relationship and Address) | Hester Costen; Pocomoke |
| Date of Death | 4/23/1918 |
| Cause of Death and Time Attended by Doctor | don't know did not see this case. Nearly dead when born |
| Immediate, Secondary, or Contributory Cause and How Long | mother had a fall a few days ago |
| Physician and Address | ..Quinn; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Halls Hill #1; Pocomoke; 4/24/1918; CH Ballard & Bros; Pocomoke Md |
| 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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