Full Name: Robert Smith
Certificate Number: C-40531
Date of Death: February 2, 1911
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 27
Place of Birth: Maryland
Place of Death: Andrews Ave, 13
Primary Cause of Death: Asthenia Septic Poisoning
Father’s Name: Jef Tyler, Maryland
Mother’s Maiden Name: Maria Smith, Maryland
Occupation: Driver
Date of Burial: 2/4/1911
Informant: Maria Smith, 13 Andrew Ave
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-108.xlsx
Notes: Acute Catarrhal or Tubercular Pneumonia
