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Description

Certificate of Death, Arkansas State Board of Health, Bureau of Vital Statistics, for Jim Jackson, issued 16 January 1958.

Creation Date

1-16-1958

Date of Birth

10 September 1870

Date of Death

16 January 1958

Birthplace

Arkadelphia, Clark County, AR

Occupation

House Work

Father's Name

Wash Jackson

Mother's Name

Annie Louis

Informant

Harrison Jackson

Place of Death

State Hospital, Little Rock, Pulaski County, LR

Place of Burial

Piney Grove Cemetery, Arkadelphia, Clark County, AR

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