Full Name: Moses Warren Clark
Certificate Number: D-67747
Date of Death: September 20, 1922
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1922/04/06 6 months
Place of Birth: Baltimore
Place of Death: 28th St, 318 W
Primary Cause of Death: Influenza
Father’s Name: Moses P Clark, Virginia
Mother’s Maiden Name: Laurie Hatchett, Maryland
Occupation: None
Date of Burial: 9/21/1922
Informant: Moses P West, 3158 W 28 St
Undertaker: Samuel T Hemsley, 578 W Biddle St
Death Record Series ID: CM1132-149.xlsx