| Name | Raymond Maxamilliam Jacksen |
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| Sex | male |
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| Birth Date | May 23, 1927 |
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| Death Date | October 22, 1994 |
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| Age at Death | 67 years, 4 months, 29 days old |
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| Birth Place | California |
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| Death Place | Ventura County, California |
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| Mother's Maiden Name | Jandorf |
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| Social Security Number | 547-32-5900 |
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