Full Name: Robert Lewis
Certificate Number: 52623
Date of Death: April 3, 1921
Gender: Male
Race: Colored
Marital Status: Single
Name of Spouse: Not Applicable
Age at Death: 11/28/1919
Place of Birth: Baltimore. Maryland
Place of Death: Colvin St., 214
Years in Baltimore: 1y 4mos.
Primary Cause of Death: Diphtheria
Father’s Name: Kelley Lewis, North Carolina
Mother’s Maiden Name: Marthia Mitchell, North Carolina
Occupation: Not Applicable
Date of Burial: 4/5/1921
Informant: Marthia Lewis, 214 Colvin St.
Undertaker: Mrs. Robert Elliott, 1725 Ashland Ave.
Death Record Series ID: CM1132-144.xlsx
Notes: Death Cert. gaves Father’s 1st name as last name of informant
