Biographical Data
Basic Identification
Gender: male
Ethnicity:
Immigration:
Attributed Race: white
Free or Enslaved: free
Birth & Family
Birth Date: 1917/00/00
Birthplace:
Mother:
Father:
1st Spouse:
2nd Spouse:
Age Details
Age: 1
Age Group:
Life Details
Occupation(s):
Last Church:
Military Service:
Last Residence:
Last Address: 1526 Taylor Street
Death
Death Date: 1918/05/00
Death Note:
Place of Death: home
Cause of Death: broncho pneumonia
Burial & Undertaking
Burial Date: 1918/05/14
Funeral Home:
Indigent?:
Gravesite and Grave Marker Data
Grave Marker or Marker Fragment: none
Section:
Confirmation Source for Location:
Grave Marker Erector(s):
Confirmation Source for Interment: official ledger