Full Name: Infant of Margaret Smith
Certificate Number: D-65795
Date of Death: July 7, 1922
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1922/07/04 3 days
Place of Birth: Maryland
Place of Death: Provident Hospital
Primary Cause of Death: Premature Birth
Father’s Name: Wilford Jones, Maryland
Mother’s Maiden Name: Margaret Smith, Maryland
Occupation: None
Date of Burial: 7/8/1922
Informant: Miss Alice Jackson, Provident Hospital
Undertaker: George H Holland, 1631 Druid Hill Ave
Death Record Series ID: CM1132-148.xlsx
Last Residence: Druid Hill Ave, 1411