Personal Information Full Name Ford, Mattie Notable Last Name Ford First Name Mattie Middle Name Suffix Prefix Maiden Name Time lived in city Address 910 Heiner Occupation Domestic Age at Death 40 Dates Date of Birth / / 1882 Date of Death 2/2/1922 Locations Hospital Birthplace Louisiana 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 W Father's Name , Mother's Name ,