Full Name: Samuel A Lewis
Certificate Number: C-43517
Date of Death: May 9, 1911
Gender: Male
Race: Colored
Marital Status: —
Age at Death: 3 months
Place of Birth: Baltimore, Maryland
Place of Death: Oak St, 2025
Primary Cause of Death: Accidental suffocation
Father’s Name: Samuel Lewis, Virginia
Mother’s Maiden Name: Annie Johnson, Virginia
Occupation: —
Date of Burial: 5/10/1911
Informant: Annie Johnson, 2025 Oak St
Undertaker: Harry D Vodery, 1725 Orleans St
Death Record Series ID: CM1132-109.xlsx
