Personal Information Full Name Jordan, Samuel Notable Last Name Jordan First Name Samuel Middle Name Suffix Jr Prefix Maiden Name Time lived in city Address 2720 Hutchins Occupation Blank Age at Death Dates Date of Birth 8/11/1921 Date of Death 11/11/1921 Locations Hospital Birthplace Texas Father's Birthplace Texas Mother's Birthplace Georgia Burial Death Certificate Y Cause of Death Kidney Disease - Nephritis Undertaker E Jackson Plot# Inscription Family Spouse's Name Marital Status Father's Name Jordan, Samuel Mother's Name Jordan, Hella