Full Name: Wm Burgess
Certificate Number: C62504
Date of Death: March 10, 1913
Gender: Male
Race: Colored
Marital Status: s
Age at Death: 36y
Place of Birth: Md
Place of Death: Dallas, 104 S
Primary Cause of Death: pulmonary tuberculosis
Father’s Name: unknown
Mother’s Maiden Name: unknown
Occupation: laborer
Date of Burial: 3/12/1913
Informant: Joseph Johnson, 104 S. Dallas St
Undertaker: John W Henderson, 31 N Caroline St
Death Record Series ID: CM1132-115.xlsx
Last Residence: 104 S Dallas
