Full Name: Moses? Small
Certificate Number: C-43896
Date of Death: May 20, 1911
Gender: Male
Race: Colored
Marital Status: M
Age at Death: 50
Place of Birth: Virginia
Place of Death: Maryland General Hospital
Primary Cause of Death: Nephritic Coma
Father’s Name: Moses Small, Virginia
Mother’s Maiden Name: Sarah Johnson, Virginia
Occupation: Laborer
Date of Burial: 5/22/1911
Informant: Mary Small, 574 Union St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-109.xlsx
Last Residence: Greenwillow St, 574
