| Page (PDF) | 1 |
|---|---|
| Certificate Number | 11983 |
| Name of Deceased | Ballard, Raymond |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 3/1/1917 |
| Age (year, month, days) | 1 yrs 2 mos 1 ds |
| Occupation or Employer | none |
| Birthplace | Pocomoke |
| Father's Name | Hilary Ballard |
| Father's Birthplace | Pocomoke Md |
| Mother's Name | Venus? Dellart? |
| Mother's Birthplace | Pocomoke |
| Informant (Relationship and Address) | Venus Diellare?, mother |
| Date of Death | 6/2/1918 |
| Cause of Death and Time Attended by Doctor | whooping cough for two weeks, died in the night |
| Immediate, Secondary, or Contributory Cause and How Long | don't know |
| Physician and Address | Fred C Quinn; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Halls Hill Cemetry #1; 6/3/1918; CH Ballard & Bro; Pocomoke |
| 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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