| Page (PDF) | 3 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Ballard, Mary |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Widowed |
| Date of Birth | Not known, 1839 |
| Age (year, month, days) | 73 yrs |
| Occupation or Employer | Housewife |
| Birthplace | Maryland |
| Father's Name | Not known |
| Father's Birthplace | not known |
| Mother's Name | Rachel Carr |
| Mother's Birthplace | Not known |
| Informant (Relationship and Address) | Sarah Ballard, Princess Anne, Md |
| Date of Death | 2/29/1912 |
| Cause of Death and Time Attended by Doctor | Bronchitis, 1 1/2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Henry M Lankford, M.D., Princess Anne, Md |
| Burial Place, Date, Undertaker, and Address | Pr Anne 2/2/1912 James F Dennis undertaker, Somerset Co |
| 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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