Full Name: Fannie G. Jackson
Certificate Number: B95029
Date of Death: November 2, 1906
Gender: Female
Race: Colored
Age at Death: 11m 29d
Place of Birth: Balto. Md.
Place of Death: ? Court, 503
Primary Cause of Death: Broncho Pnuemonia
Father’s Name: James Jackson, Balto. Md.
Mother’s Maiden Name: Dora Johnson, Virginia
Date of Burial: 11/5/1906
Informant: Dora Jackson, 503 ? Court
Undertaker: Theodore White, 1702 Gough St.
Death Record Series ID: CM1132-092.xlsx
Last Residence: 503 ? Court
