Full Name: Theodore Clark
Certificate Number: C-36438
Date of Death: September 14, 1910
Gender: Male
Race: Black
Marital Status: S
Age at Death: 1907/11/11 2 years
Place of Birth: Baltimore, Maryland
Place of Death: George St, 7483
Years in Baltimore: 2
Primary Cause of Death: Meningitis
Father’s Name: Benjamin Clark, Baltimore, Maryland
Mother’s Maiden Name: Mary Prout?, Baltimore, Maryland
Occupation: —
Date of Burial: 9/16/1910
Informant: Mary Clark, 783 George St
Undertaker: Isaac Brown, 565 Dolphin St
Death Record Series ID: CM1132-107.xlsx
