Full Name: Samuel Green
Certificate Number: C-44276
Date of Death: June 2, 1911
Gender: Male
Race: Black
Marital Status: M
Age at Death: 29
Place of Birth: Arundel County
Place of Death: University Hospital
Primary Cause of Death: Hemorrhage from Rectum
Father’s Name: Stanley Green, Maryland
Mother’s Maiden Name: Liza Blake, Maryland
Occupation: __
Date of Burial: 6/6/1911
Informant: Stanley Green, 243 S Dallas St
Undertaker: John W Henderson, 317 N Caroline St
Death Record Series ID: CM1132-109.xlsx
Last Residence: West St, 113 W
Notes: General Miliary Tuberculosis
