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Death Volume:  1911
Certificate Number:  02847

Surname:  TOLLIVER
Given Name:  Mary
Date of Death:  8 February 1911
Place of Death:  Paris, Bourbon Co., KY
Race or Color:  African
Sex:  Female
Marital Status:  Single
Spouse's Name: 
Spouse's Age: 

Cause of Death:  Pulmonary Tuberculosis
Place of Burial:  Lexington Colored Cemetery
Date of Burial:  9 February 1911
Residence:  Lillestone Ave., Paris, KY
Occupation:  Lived with mother in Lexington, KY
Date of Birth:  1887
Age:  24
Birth Place:  Bourbon Co., KY
Father's Name:  Not Known
Father's Birth Place:  Don't Know
Mother's Name:  Agnes BROWN
Mother's Birth Place:  Near Paris

Informant:  Geo. R. Davis, Paris, KY
Undertaker:  Geo. R. Davis, Paris, KY

Comments and Corrections: 
Listed under occupation was "Lived with mother in Lexington, KY"