| Page (PDF) | 5 |
|---|---|
| Certificate Number | 11329 |
| Name of Deceased | Ballard, John |
| Place of Death | Somerset |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | x |
| Age (year, month, days) | 27 yrs |
| Occupation or Employer | farmer |
| Birthplace | x |
| Father's Name | Lafayette Ballard |
| Father's Birthplace | Somerset |
| Mother's Name | Jane Mills |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Lafayette Ballard; Pocomoke RFD |
| Date of Death | 7/12/1921 |
| Cause of Death and Time Attended by Doctor | tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Samuel L Scott; Pocomoke Md |
| Burial Place, Date, Undertaker, and Address | Christ ME Church; 7/13/1921; Ballard Bros; Pocomoke RFD |
| 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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