Personal Information Full Name Davis, Sally Notable Last Name Davis First Name Sally Middle Name Suffix Prefix Maiden Name Time lived in city Address 216 36th St Occupation Domestic Age at Death 25 Dates Date of Birth 4/ 24/ 1896 Date of Death 5/26/1921 Locations Hospital Birthplace Mississippi Father's Birthplace Mother's Birthplace Burial Death Certificate Y Cause of Death Intestinal Disorder - Congestion of Stomach and Liver Undertaker E Jackson Plot# Inscription Family Spouse's Name Marital Status M Father's Name , Mother's Name ,