Full Name: Josphine Kelly
Certificate Number: C26434
Date of Death: October 4, 1909
Gender: Female
Race: Black
Marital Status: m
Name of Spouse: Clarence Kelly
Age at Death: 28y
Place of Death: Canal (?) St, 1121
Primary Cause of Death: tuberculosis
Occupation: housework
Date of Burial: 10/7/1909
Informant: Clarence Kelly, 203 E 20th St
Undertaker: R A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-103.xlsx
Last Residence: 1121 Canal (?) St