Full Name: James Jackson
Certificate Number: C-48353
Date of Death: November 3, 1911
Gender: Male
Race: Colored
Marital Status: W
Age at Death: 89
Place of Birth: Maryland
Place of Death: Bay View Hospital
Primary Cause of Death: Pulmonary Tuberculosis
Father’s Name: William Jackson, Maryland
Mother’s Maiden Name: Mary Johnson, ??
Occupation: None
Date of Burial: 11/6/1911
Informant: Lamar Hollyday, Superintendant, Bay View Asylum
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-110.xlsx
Last Residence: State St, 313
