Full Name: Sam Lewis
Certificate Number: D-69930
Date of Death: December 8, 1922
Gender: Male
Race: Colored
Marital Status: M
Age at Death: 1849 73
Place of Birth: North Carolina
Place of Death: Bay View Hospital
Years in Baltimore: 5
Primary Cause of Death: Arteriosclerosis
Father’s Name: John Lewis, North Carolina
Mother’s Maiden Name: Unknown, North Carolina
Occupation: Laborer
Date of Burial: 12/12/1922
Informant: Bay View Hospital Records
Undertaker: R C Gross, 1405 McElderry St
Death Record Series ID: CM1132-150.xlsx
Last Residence: McDonough St, 906
Notes: Chronic Nephritis