Personal Information Full Name Thomas, Jesse Notable Last Name Thomas First Name Jesse Middle Name Suffix Prefix Maiden Name Time lived in city Address Occupation Blank Age at Death 40 Dates Date of Birth 4/ 22/ 1864 Date of Death 12/26/1904 Locations Hospital Birthplace Father's Birthplace Mother's Birthplace Burial Death Certificate Cause of Death Blank Undertaker Blank Plot# 391 Inscription Family Spouse's Name Marital Status Father's Name , Mother's Name ,