Listing Category: Uncategorized
Full Name: Harrison R Distance
Certificate Number: B-69815
Date of Death: June 21, 1904
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1888 – 08 15
Place of Birth: Baltimore, Maryland
Place of Death: Central Ave, 711 N
Primary Cause of Death: Traaumatic Tetanus
Father’s Name: Samuel R Distance, Maryland
Mother’s Maiden Name: Elizabeth A Brooks, Maryland
Occupation: Box Packer
Date of Burial: 6 – 24 – 1904
Informant: Samuel R Distance, 711 M Central Ave
Undertaker: Felix B Pye, 102 E Mulberry St
Death Record Series ID: CM1132-083.xlsx
Notes: Injury to hand from toy pistol