Personal Information Full Name Waiters, Van R Notable Last Name Waiters First Name Van Middle Name R Suffix Prefix Maiden Name Time lived in city 2 years Address 3703 High Occupation Teacher Age at Death 49 Dates Date of Birth / / 1870 Date of Death 5/15/1919 Locations Hospital Birthplace Texas Father's Birthplace Texas Mother's Birthplace Texas Burial Death Certificate Y Cause of Death Influenza Undertaker E jackson Plot# Inscription V P Waiters/Died/May 15, 1919/Age 49 Yrs. Family Spouse's Name Marital Status M Father's Name Waiters, Joe Mother's Name Berry, Libbie