Full Name: Charles W. Chase
Certificate Number: D54568
Date of Death: June 13, 1921
Gender: Male
Race: Colored
Marital Status: M
Age at Death: 40y
Place of Birth: Baltimore
Place of Death: Durham, 416 N.
Primary Cause of Death: Mitral stenosis
Father’s Name: John Chase, Baltimore
Mother’s Maiden Name: Laura Delaia, Baltimore
Occupation: Laborer
Date of Burial: 06/16/1921
Informant: John Chase, 416 N. Durham
Undertaker: Mrs. Robert A. Elliott, 1725 Ashland Ave
Death Record Series ID: CM1132-145.xlsx
Last Residence: Durham, 416 N.
