Full Name: Charlotte Laveen
Certificate Number: C-45079
Date of Death: July 5, 1911
Gender: Female
Race: Colored
Marital Status: S
Age at Death: 1911/04/20 2 months
Place of Birth: Baltimore, Maryland
Place of Death: 23rd St, 420 E
Years in Baltimore: 2 months
Primary Cause of Death: Asthenia & exhaustion due to marasmas due to artificial food
Father’s Name: Unknown
Mother’s Maiden Name: Angie Leveen, Maryland
Occupation: Child
Date of Burial: 7/7/1911
Informant: D T Baxley, 224 E 22nd St?
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-109.xlsx
Notes: Marasmas
