Full Name: Leroy Payne
Certificate Number: D-57748
Date of Death: October 12, 1921
Gender: Male
Race: Colored
Marital Status: S
Age at Death: 1901/03/17 20
Place of Birth: Baltimore, Maryland
Place of Death: Latrobe, 1701
Primary Cause of Death: Acute Phthisis
Father’s Name: John Payne, Ashland, Virginia
Mother’s Maiden Name: Susie Burgess, Laurel, Maryland
Occupation: School boy
Date of Burial: 10/16/1921
Informant: John Payne, 1701 Latrobe St
Undertaker: Mrs. Robert A Elliott, 1725 Ashland Ave
Death Record Series ID: CM1132-146.xlsx
