Full Name: George Chase
Certificate Number: C-28093
Date of Death: December 9, 1909
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 56
Place of Birth: Maryland
Place of Death: Chestnut St, 141
Primary Cause of Death: Cardiac failure, Pulmonary Tuberculosis
Father’s Name: George Chase, Maryland
Mother’s Maiden Name: Mary Chase, Maryland
Occupation: Laborer
Date of Burial: 12/11/1909
Informant: Mary Chase, 141 Chestnut St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-104.xlsx