| Page (PDF) | 3 |
|---|---|
| Certificate Number | 4049 |
| Name of Deceased | Ballard, no name |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | F |
| Race | Dark |
| Married, Widowed, or Single | - |
| Date of Birth | 3/7/1913 |
| Age (year, month, days) | 1 ds |
| Occupation or Employer | - |
| Birthplace | Near Pocomoke |
| Father's Name | William Ballard |
| Father's Birthplace | Md |
| Mother's Name | Laura Dennis |
| Mother's Birthplace | Worcester Co |
| Informant (Relationship and Address) | Wallis Dennis; St. James Pocomoke City |
| Date of Death | 3/7/1913 |
| Cause of Death and Time Attended by Doctor | practically still born; lived only few hours |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | DC Quillin; Pocomoke |
| Burial Place, Date, Undertaker, and Address | St. james; 3/9/1913/ Chas Ballard; Pocomoke City |
| 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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