| Full Name of Deceased | Chapman Annie |
| Sex and Race | Female Canadian |
| Date of Death | January 9th 1912 |
| Date of Birth | |
| Age and Place of Birth | 44 years. Peterborough Ont. |
| Place of Death | Lot 5 Con? 6. Harris |
| Occupation | Housewife |
| Single, Widowed, or Divorced | Married |
| Full Name of Father | David Graham |
| Birthplace of Father | Ireland |
| Maiden Name of Mother | Belle McMullan |
| Birthplace of Mother | Scotland |
| Name of Physician who attended Deceased |
Dr. McNaughton
Tholby Bewik? New Liskeard Jan 19th. 1912 |
| Cause of Death | Chronic Endicarditis |
| Duration | 2 years |
| Immediate | Cerebral Thrombosis |
| Duration | about 3 weeks |
Source: Archives of Ontario; Toronto, Ontario, Canada; Series: MS935;
Reel: 178
Source: Ancestry.com. Ontario, Canada, Deaths and Deaths Overseas, 1869-1946