| Page (PDF) | 5 |
|---|---|
| Certificate Number | 7862 |
| Name of Deceased | Ballard, [not named] |
| Place of Death | Somerset |
| Town of Death | Crisfield; General Marine Hosp |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 5/26/1921 |
| Age (year, month, days) | x |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Edward Ballard |
| Father's Birthplace | Maryland |
| Mother's Name | Lillian P Miles |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Lillian Ballard; Crisfield Md |
| Date of Death | 5/26/1921 |
| Cause of Death and Time Attended by Doctor | still born; full term |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | RR Norris; Crisfield |
| Burial Place, Date, Undertaker, and Address | Crisfield; 5/26/1921; FE Smith; Crisfield |
| 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.