Full Name: Laura V Chase
Certificate Number: C-32020
Date of Death: April 12, 1910
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 1859/05/09 50
Place of Birth: Maryland
Place of Death: Madeira St, 614 N
Primary Cause of Death: Pneumonia
Father’s Name: Frederick Delozer, Virginia
Mother’s Maiden Name: Mary A Tasker, Maryland
Occupation: Dometic Housewife
Date of Burial: 4/15/1910
Informant: Sarah Chase, 528 N Madeira St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-106.xlsx
Notes: La Grippe
