Full Name: Jerry W Blake
Certificate Number: D28364
Date of Death: February 4, 1919
Gender: Male
Race: Black
Marital Status: M
Age at Death: 52 (1866)
Place of Birth: Maryland
Place of Death: Bounty Lae, 1425
Years in Baltimore: not answered
Primary Cause of Death: General paralysis
Father’s Name: unknown
Mother’s Maiden Name: unknown
Occupation: Porter
Date of Burial: 2/7/1919
Informant: Bayview Hospital
Undertaker: John W Henderson, 1502 E Monument
Death Record Series ID: CM1132-136.xlsx
Notes: residency in hospital 3m, 26d. life in the state