Personal Information Full Name Roberts, Octavia Notable Last Name Roberts First Name Octavia Middle Name Suffix Prefix Maiden Name Time lived in city Address 2417 Anita Occupation Domestic Age at Death 37 Dates Date of Birth / / 1879 Date of Death 7/1/1916 Locations Hospital Birthplace Father's Birthplace Mother's Birthplace Burial Death Certificate Y Cause of Death Tuberculosis Undertaker E Jackson Plot# Inscription Family Spouse's Name Marital Status M Father's Name , Mother's Name ,