Personal Information

Full Name
Berry, Willie
Notable
Last Name
Berry
First Name
Willie
Middle Name
Suffix
Prefix
Maiden Name
Time lived in city
Address
Occupation
Blank
Age at Death
X

Dates

Date of Birth
/ /
Date of Death
/ /

Locations

Hospital
Birthplace
Father's Birthplace
Mother's Birthplace

Burial

Death Certificate
Y
Cause of Death
Blank
Undertaker
Blank
Plot#
Inscription

Family

Spouse's Name
Marital Status
Father's Name
,
Mother's Name
,