Full Name: Bettie Bird
Certificate Number: C-47612
Date of Death: October 8, 1911
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 34
Place of Birth: Virginia
Place of Death: Half Moon Alley, 122
Primary Cause of Death: Brights Disease
Father’s Name: William Payne, Virginia
Mother’s Maiden Name: Phylis Tomlin, Virginia
Occupation: Domestic
Date of Burial: 10/11/1911
Informant: Thomas Rich, 1560 Fremont St
Undertaker: James H Dennis, 1303 Presstman St
Death Record Series ID: CM1132-110.xlsx
Notes: Uremia
