Full Name: Charles W Collins
Certificate Number: C-28394
Date of Death: December 19, 1909
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1875/03/15 34
Place of Birth: Baltimore County
Place of Death: Eden St, 611 N
Years in Baltimore: Life
Primary Cause of Death: Chroniic Pluerisy, Phthisis Cause
Father’s Name: Grovge R Collins, Maryland
Mother’s Maiden Name: Mariah F Kelso, Maryland
Occupation: Laborer – Driver
Date of Burial: 12/22/1909
Informant: Mariah F Collins, 611 N Eden St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-104.xlsx
Notes: Heart Failure
