Full Name: John Custis
Certificate Number: D25160
Date of Death: November 12, 1918
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 21y
Place of Birth: Baltimore, Maryland
Place of Death: Provident Hospital
Years in Baltimore: lifetime
Primary Cause of Death: lobar pneumonia
Father’s Name: John Custis, Md.
Mother’s Maiden Name: Masaw? Johnson, Calvert County, Md.
Occupation: laborer
Date of Burial: 11/14/1918
Informant: John Johnson, 1526 Fairmount Ave.
Undertaker: Mrs. R.A. Elliott, 506 East St.
Death Record Series ID: CM1132-135.xlsx
Last Residence: 1526 Fairmount Ave.
