ID: I2796
Name: Neil Shane Jackson
Sex: M
Birth: 11 SEP 1961 in Elyria, Lorain, Ohio, USA
Residence: Elyria, Lorain, Ohio, USA
Social Security Number: 297-70-4816
Event:
other Elyria, Lorain, Ohio, USA
Event:
publication 19 MAY 1999
Death: 07 MAY 1999 in Elyria Memorial Hospital , Elyria, Lorain, Ohio
Note: Name: Neil Shane Jackson Birth Date: 11 Sep 1961 Birth City: Elyria Birth County: Lorain Birth State: Ohio Birth Country: United States
Gender: Male Race: African American (Black) Hispanic Origin: Not Hispanic (Latino)
Residence City: Elyria Residence County: Lorain Residence State: Ohio Residence Zip Code: 44035 Residence Country: United States
Death Date: 7 May 1999 Death Time: 5:48 AM Hospital of Death: Elyria Memorial Hospital City of Death: Elyria County of Death: Lorain Certificate: 042438 Age at Death: 37 Registrar's Certificate Number: 00220 Certifier: Coroner Referred to Coroner: Yes Autopsy: Yes Method of Disposition: Burial Filing Date: 19 May 1999 Hospital Status: Hospital/ER-Outpatient Injury in Ohio: Yes Injury at Work: No Type Place of Injury: Street and Highway County of Injury: Lorain
Social Security Number: 297-70-4816 FATHER'S SURNAME: Inman Mother's Maiden Name: Jackson Marital Status: Divorced Education: 12 Armed Forces Indicator: No
Primary Registration District: 4702
Father: Inman
Mother: Eunice V Jackson b: 13 JUN 1938 in Elyria, Lorain, Ohio, USA
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