Full Name: Charles R. Summerville
Certificate Number: C2075
Date of Death: June 22, 1907
Gender: Male
Race: Black
Marital Status: S
Age at Death: 26y
Place of Birth: Balto. City, Md.
Place of Death: Bay View Asylum
Primary Cause of Death: Tuberculosis
Father’s Name: Charles Summerville, Balto. City
Mother’s Maiden Name: Emely Williams, Balto, City
Occupation: Waiter
Date of Burial: 6/24/1907
Informant: Bay View Asylum
Undertaker: John H. Owens and Sons, 1222 Division St.
Death Record Series ID: CM1132-094.xlsx
Last Residence: Bay View Asylum
