Full Name: Lola W Jackson
Certificate Number: C64040
Date of Death: April 30, 1913
Gender: Female
Race: Black
Marital Status: infant
Age at Death: 2y 0m 6d
Place of Birth: Baltimore City, Maryland
Place of Death: Argyle Ave, 1308
Primary Cause of Death: natural causes; broncho pneumonia
Father’s Name: John Gout, Md
Mother’s Maiden Name: Hattie Jackson, Md
Occupation: infant
Date of Burial: 5/2/1913
Informant: Hattie Jackson, 1308 Argyle Ave
Undertaker: George H Holland, 517 Robert St
Death Record Series ID: CM1132-115.xlsx
Last Residence: 1308 Argyle Ave
