Full Name: Annie Jackson
Certificate Number: C-29751
Date of Death: January 30, 1910
Gender: Female
Race: Black
Marital Status: S
Age at Death: 1909/09/06 4 months
Place of Birth: Baltimore, Maryland
Place of Death: Eden St, 524 N
Primary Cause of Death: Marasmus
Father’s Name: Randolph Jackson, Baltimore, Maryland
Mother’s Maiden Name: Maggie Roach?, Baltimore, Maryland
Occupation: None
Date of Burial: 1/31/1910
Informant: Maggie Jackson, 524 N Eden St
Undertaker: Joseph G Locks, 1302 Jefferson St
Death Record Series ID: CM1132-105.xlsx
