Full Name: Ardelia? Lively
Certificate Number: D16622
Date of Death: May 22, 1918
Gender: Female
Race: Black
Age at Death: 4/18/1916, 2y 1m 4d
Place of Birth: Baltimore City, Maryland
Place of Death: Princeton St. 302
Years in Baltimore: life
Primary Cause of Death: acute bronchitis & tuberculosis
Father’s Name: James Howard Lively, Md.
Mother’s Maiden Name: Alace Jackson, Md.
Date of Burial: 5/24/1918
Informant: Mrs. Alace Lively (mother), 302 Princeton St.
Undertaker: George H. Holland, 1631 Druid Hill
Death Record Series ID: CM1132-132.xlsx
