Full out this side STATE OF MAINE. CERTIFICATE OF DEATH Name, Thomas Williamton Jacking Place of Death, Bernard maini No. Street. Ward, Village, How long a resident, Thirty fur glare Previous residence, Jamdies Plain macs Date of Death: Year, 1919 Month, 8 Day, 11 Age: Years, 71 Months, Days, 25 Place of Birth, Calebrook N.H. Date of Birth: Year, 1848 Month, 7 Day 17 Sex, Mali Color, white Widowed, or Married, Single married Divorced. 1 Occupation, merchant Name of Father, Richard Jackson Maiden Name of Mother, Mary Williamson Birthplace of Father, Iriland Birthplace of Mother, England Occupation of Father, Deceased was wife of, Widow of [Over]