Full Name: Charlotte Smith
Certificate Number: C-52591
Date of Death: March 22, 1913
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 1857 55
Place of Birth: Maryland
Place of Death: Aisquith St, 417
Primary Cause of Death: Mitral Insufficiency (eleven weeks)
Father’s Name: James H Benson?, Maryland
Mother’s Maiden Name: —
Occupation: Housewife
Date of Burial: 3/25/1912
Informant: Henery B Smith, 417 Aisquith St
Undertaker: Charles G Bailey, 1421 Jefferson St
Death Record Series ID: CM1132-112.xlsx
Notes: Cardiac Dropsy