Full Name: Giles Jefferson
Certificate Number: C-40191
Date of Death: January 20, 1911
Gender: Male
Race: Black
Marital Status: S
Age at Death: 02/28 22 years
Place of Birth: Maryland
Place of Death: Spring St, 1702 N
Primary Cause of Death: Pulluses? Pulmonalis
Father’s Name: —
Mother’s Maiden Name: —
Occupation: Day Laborer
Date of Burial: 1/23/1911
Informant: Mammie Lee, 1702 N Spring St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-108.xlsx
