Full Name: Samuel Green
Certificate Number: C0350
Date of Death: April 18, 1907
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 42y
Place of Birth: Baltimore, Md.
Place of Death: Bay View Asylum
Primary Cause of Death: Pulmonary Tuberculosis
Father’s Name: Blank
Mother’s Maiden Name: Blank
Occupation: Laborer
Date of Burial: 4/21/1907
Informant: 1201 St. James St.
Undertaker: R. A. Elliott, 506 Rogers Ave.
Death Record Series ID: CM1132-094.xlsx
Last Residence: 1201 St. James St.
