PUTNAM COUNTY, TN - VITALS - J. Levi Jackson Death Certificate
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State of Tennessee
Certificate of Death
Certificate: 344

Place of Death
County: Putnam
Civil District: 3rd
City: Cookeville Route #6

Full Name: J. Levi Jackson
Sex: Male
Color or Race: White
Single, Married, Widowed, or Divorced: Married
Date of Birth: March 6, 1840
Age: 83 yrs 3 mos 11 da
Occupation: Farmer
Birthplace: Tennessee
Name of Father: Newell Jackson
Birth Place of Father: Don't Know
Maiden Name of Mother: Don't Know
Birth Place of Mother: Don't Know
Informant: Stanton Bohannon
  Cookeville, RFS 6
Filed: June 23, R. B. Clouse
Date of Death: June 17, 1923
I hereby certify that I attended deceased fromJune 14, 1923 to June 17, 1923
that I last saw him alive on June 17, 1923 and that death occurred on the 
date stated above at 1 p.m.
The cause of death was as follows: Impacted Bowel
Signed: J. F. Dyer MD
Cookeville, TN
Place of Burial: Sand Springs Tenn
Date of Burial: June 18, 1923
Undertaker: Stanton Bohannon
Address: Cookeville, TN