Full Name: Mary Smith
Certificate Number: C64046
Date of Death: May 1, 1913
Gender: Female
Race: Colored
Marital Status: m
Age at Death: 40y
Place of Birth: Maryland
Place of Death: Colvin, 140
Primary Cause of Death: cerebral hemorrhage
Father’s Name: not known
Mother’s Maiden Name: not known
Occupation: domestic
Date of Burial: 5/3/1913
Informant: Annie Taylor, 140 Colvin St
Undertaker: I L Brown and Son, 108 W Montgomery St
Death Record Series ID: CM1132-115.xlsx
Last Residence: 140 Colvin
