Full Name: Annie Smith
Certificate Number: C-36155
Date of Death: August 30, 1910
Gender: Female
Race: Black
Marital Status: M
Age at Death: 35
Place of Birth: Virginia
Place of Death: Chapel St, 1031 N
Primary Cause of Death: Typhoid Fever
Occupation: Servant Cook
Date of Burial: 9/5/1910
Informant: Clara Procter?, 1031 N Chapel St
Undertaker: Felix B Pye, Sr., 102 E Mulberry St
Death Record Series ID: CM1132-107.xlsx
