Full Name: Annie Archer
Certificate Number: C-28705
Date of Death: December 29, 1909
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 41
Place of Birth: Virginia
Place of Death: Boone St, 2623
Primary Cause of Death: Pulmonary Tuberculosis
Father’s Name: —
Mother’s Maiden Name: —
Occupation: Housework
Date of Burial: 1/1/1910
Informant: Preston Archer, 2623 Boone St
Undertaker: R A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-105.xlsx
