Full Name: Clarence Anderson
Certificate Number: C9370
Date of Death: February 7, 1908
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 22y
Place of Birth: Maryland
Place of Death: University Hospital
Years in Baltimore: 2y
Primary Cause of Death: Toxemia
Father’s Name: not given
Mother’s Maiden Name: not given
Occupation: Cook
Date of Burial: 2/11/1908
Informant: William Adams, 1228 Jefferson St.
Undertaker: RA Elliot/ 506 Rogers Ave.
Death Record Series ID: CM1132-097.xlsx
Notes: Peritonitis (resulting from appendicitis)