Full Name: Samuel J. Smith
Certificate Number: D34124
Date of Death: August 6, 1919
Gender: Male
Race: Colored
Marital Status: M
Age at Death: 40y
Place of Birth: Maryland
Place of Death: Carolline St 538 N
Years in Baltimore: 40y
Primary Cause of Death: Chronic Valvular Heart Disease
Father’s Name: John H. Smith, Maryland
Mother’s Maiden Name: Isabela Dorsey, Maryland
Occupation: Laborer
Date of Burial: 8/8/1919
Informant: Mrs. Samuel J. Smith 538 N. Caroline St
Undertaker: John W. Henderson, 1503 E. Monument St
Death Record Series ID: CM1132-138.xlsx
Last Residence: Carolline St 538 N
