Full Name: Rosa Smith
Certificate Number: C27644
Date of Death: November 20, 1909
Gender: Female
Race: Black
Marital Status: m
Age at Death: 29y
Place of Birth: Baltimore City
Place of Death: Spring, 32 N
Years in Baltimore: life
Primary Cause of Death: exhaustion; tuberculosis
Father’s Name: William Potter, Baltimore City
Mother’s Maiden Name: Florence Gaskins, Richmond Va
Occupation: house work
Date of Burial: 11/23/1909
Informant: Julus Clark, 32 N Spring St
Undertaker: John W Henderson, 31 N Caroline St
Death Record Series ID: CM1132-103.xlsx
Last Residence: 32 N Spring St