Full Name: Eugene Henry
Certificate Number: C-40189
Date of Death: January 21, 1911
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 30
Place of Birth: Maryland
Place of Death: St. Joseph Hospital
Primary Cause of Death: Uremia Coma
Father’s Name: Eugene Henry, Maryland
Mother’s Maiden Name: Francie Henry, Maryland
Occupation: Driver
Date of Burial: 1/25/1911
Informant: Francie Henry, 1630 Mulligan St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-108.xlsx
Last Residence: Mulliken St, 1630
Notes: Nephritis