Full Name: Catherine Chapman
Certificate Number: C-41959
Date of Death: March 19, 1911
Gender: Female
Race: Colored
Marital Status: —
Age at Death: 1910/11/27 4 months
Place of Birth: Maryland
Place of Death: Jasper St, 220
Primary Cause of Death: Exhaustion
Father’s Name: William Chapman, Maryland
Mother’s Maiden Name: Daisy Lewis?, Maryland
Occupation: —
Date of Burial: 3/20/1911
Informant: William Chapman, 220 Jasper St
Undertaker: Felix B Pye Sr., 102 E Mulberry St
Death Record Series ID: CM1132-109.xlsx
Notes: Broncho-pneumonia