Full Name: Lulu Payne
Certificate Number: D-13232
Date of Death: February 17, 1918
Gender: Female
Race: Colored
Marital Status: S
Age at Death: 36
Place of Birth: Unknown
Place of Death: Provident Hospital
Years in Baltimore: 7
Primary Cause of Death: Surgical Shock
Father’s Name: Unknown
Mother’s Maiden Name: Unknown
Occupation: Domestic
Date of Burial: 2/20/1918
Informant: Gold Johnson, 2041 Division St
Undertaker: Samuel T Hemsley, 578 W Biddle St
Death Record Series ID: CM1132-131.xlsx
Last Residence: Division St, 2041
Notes: Myomanteri Pyosalpinx
