Full Name: Harriett Forman
Certificate Number: B99927
Date of Death: April 6, 1907
Gender: Female
Race: N
Marital Status: M
Age at Death: 48y
Place of Birth: Baltimore
Place of Death: Ensor St., 712
Primary Cause of Death: ? Disease
Father’s Name: Unknown
Mother’s Maiden Name: Unknown
Occupation: Housewife
Date of Burial: 4/6/1907
Informant: Husband, 712 Ensor St.
Undertaker: R. A. Elliott, 506 Rogers Ave.
Death Record Series ID: CM1132-094.xlsx
Last Residence: 712 Ensor St.
