Full Name: Annie D Henderson
Certificate Number: C-47403
Date of Death: September 27, 1911
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 40
Place of Birth: Virginia
Place of Death: Keyser St, 2031
Primary Cause of Death: Laryngitis Tubercular
Father’s Name: John Gray, Virginia
Mother’s Maiden Name: —
Occupation: House work
Date of Burial: 9/30/1911
Informant: James H Dennis, 103 Presstman St
Undertaker: James H Dennis, 1303 Presstman St
Death Record Series ID: CM1132-110.xlsx
