| Page (PDF) | 1 |
|---|---|
| Certificate Number | 6166 |
| Name of Deceased | Ballard, Charlotte Anne |
| Place of Death | Somerset |
| Town of Death | Manokin |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 5/29/1855 |
| Age (year, month, days) | 65 yrs 11 mos |
| Occupation or Employer | house wife |
| Birthplace | Md |
| Father's Name | Henry Wilson |
| Father's Birthplace | Md |
| Mother's Name | Mary Small |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Geo Ballard; Manokin Md |
| Date of Death | 4/29/1921 |
| Cause of Death and Time Attended by Doctor | chroninc Brights' disease; 4 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GW Gill; Manokin Md |
| Burial Place, Date, Undertaker, and Address | Manokin Md; 5/1/1921; Herbert Wilson; Up Fairmount |
| 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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