Full Name: Charlie Johnson
Certificate Number: C26778
Date of Death: October 15, 1909
Gender: Male
Race: Colored
Marital Status: s
Age at Death: 31y
Place of Birth: Va
Place of Death: Md University Hospital
Primary Cause of Death: gangrene of aneurism caused by a bullet shot in thigh(?)
Father’s Name: James Smith, Va
Mother’s Maiden Name: Caroline Johnson, Va
Occupation: laborer
Date of Burial: 10/21/1909
Informant: Jim Smith, 715 N Spring St
Undertaker: R A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-103.xlsx
Last Residence: 715 N Spring St
