Full Name: Te?? Jackson
Certificate Number: C-53946
Date of Death: May 6, 1912
Gender: Female
Race: Colored
Marital Status: S
Age at Death: 42
Place of Birth: Virginia
Place of Death: City Hospital
Primary Cause of Death: Pulmonary Tuberculosis, Spastic Paraplegia & Secondary Rus??
Father’s Name: ___
Mother’s Maiden Name: ___
Occupation: Domestic
Date of Burial: 5/9/1912
Informant: Lamar Hollyday, Superintendent Bay View Asylum
Undertaker: Robert A Elliott, 506 Rogers St
Death Record Series ID: CM1132-112.xlsx
Last Residence: Woodyear St, 633
