Full Name: Ida Cousin
Certificate Number: C-45566
Date of Death: July 21, 1911
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 1880 31
Place of Birth: Norfolk, Virginia
Place of Death: Bethel St, 417 N
Primary Cause of Death: Acute Ascending Paralysis
Father’s Name: John Davis, Virginia
Mother’s Maiden Name: Elizabeth Sears, Virginia
Occupation: House work
Date of Burial: 7/23/1911
Informant: Elizabeth Duckett, 417 N Bethel St
Undertaker: Felix B Pye, Sr, 102 E Mulberry St
Death Record Series ID: CM1132-110.xlsx
Notes: Cardiac Failure