| Page (PDF) | 3 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Ballard, Not Named |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 6/3/1912 |
| Age (year, month, days) | 2 mos 20 days |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | Sam Ballard |
| Father's Birthplace | Md |
| Mother's Name | Vena Price |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John Robson, Marion |
| Date of Death | 8/24/1912 |
| Cause of Death and Time Attended by Doctor | Thrush - Child always sickly |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | No Dr in Attendance |
| Burial Place, Date, Undertaker, and Address | Nr Marion 8/25/1912 A W Dixon undertaker, Marion |
| 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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