| Page (PDF) | 3 |
|---|---|
| Certificate Number | 5353 |
| Name of Deceased | Ballard, Charles A |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | do no know |
| Age (year, month, days) | 38 yrs |
| Occupation or Employer | laborer |
| Birthplace | Md |
| Father's Name | Henry Ballard |
| Father's Birthplace | Md |
| Mother's Name | Maggied (Ballard) |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Wm Lankford; Princess Anne Md |
| Date of Death | 3/5/1920 |
| Cause of Death and Time Attended by Doctor | acute peritonitis; obscure origina no further information; 7 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Harlan A Cuff; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Curtis Chapel; 3/8/1920; James I Dennis; Princess Anne |
| 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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