Full Name: Carrie Jackson
Certificate Number: C76064
Date of Death: June 5, 1914
Gender: Female
Race: Black
Marital Status: M
Age at Death: 45y
Place of Birth: Maryland
Place of Death: City Hospital
Years in Baltimore: Lifetime
Primary Cause of Death: Myocardial Insufficiency
Father’s Name: George Johnson, Maryland
Mother’s Maiden Name: Rachel (Unknown), Maryland
Occupation: Laundress
Date of Burial: 6/8/1914
Informant: Bay View Asylum
Undertaker: John W. Henderson, 31 N. Caroline St.
Death Record Series ID: CM1132-119.xlsx
Last Residence: 213 Mullen Ct.
