Full Name: Susan Payne
Certificate Number: D-70260
Date of Death: December 18, 1922
Gender: Female
Race: Colored
Marital Status: M
Name of Spouse: James H Payne
Age at Death: 1860 62
Place of Birth: Charles, Maryland
Place of Death: Mosher St, 1309
Years in Baltimore: 50
Primary Cause of Death: Chronic Intestitial Nephritis
Father’s Name: Thomas Delaney, Maryland
Mother’s Maiden Name: Margaret Butler
Occupation: Domestic
Date of Burial: 12/21/1922
Informant: Mary Green, 1309 Mosher St
Undertaker: Samuel T Hemsley, 578 W Biddle St
Death Record Series ID: CM1132-150.xlsx
Notes: Uremic Coma
