| Page (PDF) | 5 |
|---|---|
| Certificate Number | 15847 |
| Name of Deceased | Ballard, Robert |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | infant |
| Date of Birth | 5/19/1915 |
| Age (year, month, days) | 3 mos 19 ds |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | John W Ballard |
| Father's Birthplace | Maryland |
| Mother's Name | Edith Cottman |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | SJ Collins; Westover, Md |
| Date of Death | 9/8/1915 |
| Cause of Death and Time Attended by Doctor | marasmus; gradually failed from birth; 3 mos 29 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Manokin Church Yard; 9/8/1915; Samuel Collins; Westover Md |
| 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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