Campbell County Death Certificates
Nan Jackson
Reg. Number:  left blank; Reg. District: left blank
Certificate Number: left blank

Name: Nan Jackson
Residence: left blank
Sex: Female
Race: White
Date of Birth: 06 Aug 1868
Place of Birth: Newport, Tn
Date of Death: 12 1936
Place of Death: Campbell County
Age: 68
Marital Status: Married
Spouse, if living: Alfred Henry Jackson
Age of Spouse, if living: Dec
If Veteran, Name of War: left blank
Social Security Number: left blank
Occupation: left blank
Industry or Business: (left blank)
Father's Full Name: Wylie Jones
Father's Birthplace: left blank
Mother's Full Maiden Name: left balnk
Mother's Birthplace: left balnk
Cause of Death: left balnk
  • Due to: (left blank)
  • Other conditions: (left blank)
  • Operation?: (left blank)
  • Autopsy?: (left blank)
If death was due to external causes, fill in the following:
  • Accident, Suicide, or Homicide: (left blank)
  • Date of Occurrence: 19
  • Where did the injury occur: (left blank)
  • Did injury occur in or about home, on farm, in industrial place, in public place?: (left blank)
  • While at work: (left blank)
  • Means of Injury: (left blank)
Informant: left blank
Informant Address: left blank
Burial, Removal, or Cremation: Burial
Date: 19
Undertaker: left blank
Address: left blank
By: left blank
Date Filed: 19
Registrar: left blank
Signature: left blank
Address: left blank

Submitter's Name: Lokelani Lindsey
Submitter's Email:
Relationship to the Deceased: great grand daughter

Comments: Nan Jackson was buried in Turley Cemetery, Campbell County, TN. Her husband Alfred Henry Jackson was also buried there.



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