Full Name: Jerome Forrester
Certificate Number: C26423
Date of Death: October 7, 1909
Gender: Male
Race: Black
Marital Status: m
Age at Death: 50y
Place of Birth: Md
Place of Death: Bay View Hospital
Primary Cause of Death: paralysis and exhaustion
Father’s Name: Perry Forrester, Md
Mother’s Maiden Name: Matilda Higgins, Md
Occupation: waiter
Date of Burial: 10/8/1909
Informant: Lamar Hollyday, Bay View Asylum
Undertaker: Alex Hemsley, 578 W Biddle St
Death Record Series ID: CM1132-103.xlsx