Full Name: Henrietta Davis
Certificate Number: C-49692
Date of Death: December 23, 1911
Gender: Female
Race: Black
Marital Status: S
Age at Death: 23
Place of Birth: District of Columbia
Place of Death: Johns Hopkins Hospital
Primary Cause of Death: Chronic Nephritis, Uremia
Father’s Name: William Davis, Washington, DC
Mother’s Maiden Name: Elizabeth Baston, Virginia
Occupation: Housework
Date of Burial: 12/26/1911
Informant: Adam P Smith, Johns Hopkins Hospital
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-111.xlsx
Last Residence: Dallas St, 102 S
