Full Name: Infant of Rosa & Richard Maddox
Certificate Number: C-40133
Date of Death: January 20, 1911
Gender: Male
Race: Black
Marital Status: S
Age at Death: 1911/01/06 14 days
Place of Birth: Maryland
Place of Death: Bond St, 943 N
Years in Baltimore: 14 days
Primary Cause of Death: Hemophilia
Father’s Name: Richard Maddox, Maryland
Mother’s Maiden Name: Rose Maddox, Maryland
Occupation: Infant
Date of Burial: 1/22/1911
Informant: Burtie Dutton, 943 N Bond St
Undertaker: Charles G Bailey, 1421 Jefferson St
Death Record Series ID: CM1132-108.xlsx
Notes: Prematurity
