Page (PDF) | 3 |
---|---|
Certificate Number | 9930 |
Name of Deceased | [Ballard], [unnamed] |
Place of Death | Somerset |
Town of Death | Dublin District |
Sex | M |
Race | black |
Married, Widowed, or Single | S |
Date of Birth | 5/21/1918 |
Age (year, month, days) | 2 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Ben Ballard |
Father's Birthplace | Md |
Mother's Name | Ellin Tilghman |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Ben Ballard; P Anne Md RD4 |
Date of Death | 5/23/1918 |
Cause of Death and Time Attended by Doctor | premature birth |
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; 5/24/1918; Jas I Dennis; 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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