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Submitter: Lora Washington

Death Volume:  004
Certificate Number:  01921

Surname:  Jackson
Given Name:  Eugene
Date of Death:  10 Feb 1953
Place of Death:  North Middletown, Bourbon, KY
Race or Color:  Colored
Sex:  M
Marital Status:  Married
Spouse's Name:  Mary Ellen Evans
Spouse's Age:  64
Cause of Death: 
Place of Burial:  North Middletown, Kentucky
Date of Burial:  13 Feb 1953
Residence:  North Middletown, Kentucky
Date of Birth:  10 Nov 1877
Age:  75
Birth Place:  Kentucky
Father's Name:  Eugene Jackson
Father's Birth Place:  Kentucky
Mother's Name:  Mary Sue Evans
Mother's Birth Place:  Kentucky

Informant:  Mary Jackson
Undertaker:  unknown