| No. | 30174 |
| Name | Chapman Agnes |
| Age | 79 |
| Where Born | England |
| Where Died | Cobalt Ont |
| Social State | M |
| When Died | Feb 11 |
| When Placed in Vault | |
| When Interred | Feb 15 |
| What Disease | Pneumonia |
| Where Interred | M 22 17 |
| Ground Property of | Chas. Chapman |
| Medical Attendant | Dr. J.D. McNaughton |
| Officiating Minister | Rev Stewart |
| Name and Address of Deceased's Nearest Relations | C Chapman, 46 Kippendavie Ave |
| Undertaker | E. Hopkins Burials Co. |
| Remarks |
Source: Toronto Trust Cemeteries; Toronto, Canada;
Cemetery Mount Pleasant Cemetery; Volume 03; Year Range 1908-1919
Source: Ancestry.com. Ontario, Canada, Toronto Trust Cemeteries, 1826-1989