Full Name: James Jefferson
Certificate Number: C-54076
Date of Death: May 11, 1912
Gender: Male
Race: Colored
Marital Status: M
Age at Death: 35
Place of Birth: Maryland
Place of Death: Jefferson, 1517
Primary Cause of Death: Pulmonary hemorrhage & exhaustion
Father’s Name: Ruben Dickerson, Maryland
Mother’s Maiden Name: Julia Dickerson, Maryland
Occupation: Labor
Date of Burial: 5/14/1912
Informant: Julia Dickerson, 1517 Jefferson
Undertaker: Robert A Elliott, 506 Rogers St
Death Record Series ID: CM1132-112.xlsx
Notes: Phthsis Pulmonalis
