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Death Volume: 1916

Certificate No.: 29415


Surname: Jackson

Given Name: Moses


Date of Death: 13 December 1916

Place of Death: Clintonville, Bourbon Co, KY

Race or Color: Colored

Sex: M

Marital Status: Single

Cause of Death: Accidental Fracture of Skull

Place of Burial: Family Cemetery


Occupation: Common Labor

Date of Birth:

Age: 68

Birth Place: Bourbon Co, KY

Father's Name: David Jackson

Birth Place of Father: Bourbon Co, KY

Mother's Name: Annie Jones

Birth Place of Mother: Bourbon Co, KY

Informant: David Jackson