Full Name: Samuel Johnson
Certificate Number: D56333
Date of Death: August 18, 1921
Gender: Male
Race: Colored
Marital Status: W
Name of Spouse: Unknown
Age at Death: 54y
Place of Birth: Baltimore
Place of Death: Municipal Tuberculosis Hospital
Years in Baltimore: Life
Primary Cause of Death: Pulmonary tuberculosis
Father’s Name: Stephen Johnson, Maryland
Mother’s Maiden Name: Harriett Simms, Maryland
Occupation: Porter
Date of Burial: 08/21/1921
Informant: Hospital Records, M.T.H.
Undertaker: John W. Henderson, 1502 E. Monument St
Death Record Series ID: CM1132-145.xlsx
Last Residence: Raborg St, 821
