Full Name: Susan Jackson
Certificate Number: 53389
Date of Death: April 29, 1921
Gender: Female
Race: Colored
Marital Status: Married
Name of Spouse: Not Applicable
Age at Death: 51y
Place of Birth: Maryland
Place of Death: Boone St., 2650
Years in Baltimore: 15y
Primary Cause of Death: Chronic Bronchitis
Father’s Name: Phillip A?, Maryland
Mother’s Maiden Name: Mary Lee, Maryland
Occupation: Domestic
Date of Burial: 5/3/1921
Informant: Nelly Jackson, 2650 Boone St.
Undertaker: Mrs. Robert Elliott, 1725 Ashland Ave.
Death Record Series ID: CM1132-144.xlsx
