Full Name: Jacob Samuel
Certificate Number: D-66600
Date of Death: August 4, 1922
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1894 28
Place of Birth: Jamaica
Place of Death: Brant St, 613
Years in Baltimore: 2
Primary Cause of Death: Acute Pneumonia Consumption
Father’s Name: Unknown
Mother’s Maiden Name: Unknown
Occupation: Laborer
Date of Burial: 8/7/1922
Informant: Rebecker Turig?, 613 Brant St
Undertaker: Mrs. Robert A Elliott, 1725 Ashland Ave
Death Record Series ID: CM1132-149.xlsx
