Full Name: Samuel Ford
Certificate Number: D47488
Date of Death: October 20, 1920
Gender: Male
Race: Colored
Marital Status: W
Age at Death: 2/15/1835
Place of Birth: Maryland
Place of Death: Harlem Ave. 1211
Years in Baltimore: lifetime
Primary Cause of Death: chronic interstitial nephritis
Father’s Name: Jeremiah Ford, Maryland
Mother’s Maiden Name: Caroline Murray, Maryland
Occupation: coachman
Date of Burial: 10/24/1920
Informant: Charles Ford, 1211 Harlem Ave.
Undertaker: George H. Holland, 1621 Druid Hill Ave.
Death Record Series ID: CM1132-142.xlsx
Last Residence: 1211 Harlem Ave.
