| Page (PDF) | 1 |
|---|---|
| Certificate Number | 17615 |
| Name of Deceased | Ballard, infant of Rita |
| Place of Death | Somerset |
| Town of Death | Deal Island Md |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 10/21/1920 |
| Age (year, month, days) | 2 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Fred Armstrong |
| Father's Birthplace | Md |
| Mother's Name | Rita Ballard |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Hareet Ballard; Deal Island |
| Date of Death | 10/24/1920 |
| Cause of Death and Time Attended by Doctor | atelectasis; 7 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Jos L McLaughlin; Deal Island |
| Burial Place, Date, Undertaker, and Address | Deal Island; 10/24/1920; LG Webster; Deal Islands |
| 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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