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 Residence: 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
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