Personal Information

Full Name
Jackson, Infant Male
Notable
Last Name
Jackson
First Name
Infant
Middle Name
Male
Suffix
Prefix
Maiden Name
Time lived in city
Address
Occupation
Blank
Age at Death
X

Dates

Date of Birth
/ /
Date of Death
/ /

Locations

Hospital
Birthplace
Father's Birthplace
Mother's Birthplace

Burial

Death Certificate
Cause of Death
Blank
Undertaker
Blank
Plot#
Inscription

Family

Spouse's Name
Marital Status
Father's Name
,
Mother's Name
,