Personal Information Full Name Haley, Phyllis Notable Last Name Haley First Name Phyllis Middle Name Suffix Prefix Maiden Name Time lived in city Address Occupation Blank Age at Death X Dates Date of Birth / / Date of Death 3/19/1917 Locations Hospital Birthplace Father's Birthplace Mother's Birthplace Burial Death Certificate Cause of Death Blank Undertaker Blank Plot# 210 Inscription Mother Phyllis Haley died March 19, 1917 A Tender Mother and A Faithful Friend Family Spouse's Name Marital Status Father's Name , Mother's Name ,