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Death Volume:  1914
Certificate Number:  22853

Surname: 
JACKSON
Given Name: 
Clay
Date of Death: 
11 September 1911
Place of Death: 
Claysville, Bourbon Co., KY
Race or Color: 
C
Sex: 
M
Marital Status: 
S
Spouse's Name: 
Spouse's Age: 
Cause of Death: 
Place of Burial: 
Paris Col. Cemetery
Residence: 
Occupation: 
Date of Birth: 
22 November 1881
Age: 
26
Birth Place: 
KY
Father's Name: 
Thos JACKSON
Father's Birth Place: 
Mother's Name: 
Bell TURNER
Mother's Birth Place: 
KY

Informant: 
Tom JACKSON