Full Name: George Payne
Certificate Number: C-38718
Date of Death: December 5, 1910
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1900/03 10
Place of Birth: Maryland
Place of Death: Union Alley, 1405
Primary Cause of Death: Double Pneumonia & Heart Failure
Father’s Name: Charles Holland, Maryland
Mother’s Maiden Name: Mamie Payne, Maryland
Occupation: Public School Boy
Date of Burial: 12/7/1910
Informant: Mamie Payne, 1405 Union Alley
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-108.xlsx