Name:   Sylvena Davis

Place of Death:   Warner

Date of Death:   Mar 10, 1913

Age YY-MM-DD:   __-07-04

Place of Birth:   Warner

Gender:   F

Color:   B

Single, Married, or Widow(er):   S

Occupation:   _____

Place of Birth of Father:   Pittsfield

Place of Birth of Mother:   Canterbury

Name of Father:   Fred A. Davis

Maiden Name of Mother:   Bertha Moody

Disease / Cause of Death:   Influenza

Occupation of Father:   _____

Source: Annual Report for the Town of Warner for 1913