Full Name: Otis Johnson
Certificate Number: C-44328
Date of Death: June 6, 1911
Gender: Male
Race: Black
Marital Status: S
Age at Death: 1895 16
Place of Birth: Virginia
Place of Death: Municipal Tuberculosis Hospital
Primary Cause of Death: Exhaustion
Father’s Name: —
Mother’s Maiden Name: —
Occupation: None
Date of Burial: 1911/06/18?
Informant: Lamar Hollyday, Superintendent, Bay View Asylum
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-109.xlsx
Notes: Pulmonary Tuberculosis
