Full Name: Samuel Jackson
Certificate Number: B96680
Date of Death: December 28, 1906
Gender: Male
Race: Colored
Marital Status: W
Age at Death: 45y
Place of Birth: Balto. Co
Place of Death: Md. Homoeopathic Hospital
Years in Baltimore: 43
Primary Cause of Death: Heart Failure
Father’s Name: Richard H. Jackson, Balto.
Mother’s Maiden Name: Isabella Braxton, Va.
Occupation: Laborer
Date of Burial: 12/31/1906
Informant: Emma Purnell, 1229 Division St.
Undertaker: R.A. Elliott, 506 Rogers Ave.
Death Record Series ID: CM1132-092.xlsx
Last Residence: 1229 Division St.
