First Name: Hazel

Middle Name: Jo

Last Name: Kelly

Date of Birth: 1 January 1912

Date of Death: 20 June 1905

Block: F

Lot: 9

Location: N

Section: E

Own First Name: Zack

Notes: Month Day not provided - entered as Jan 1

Sta: Y

Space Plt: 3

Own Last Name: Mashburn