Full Name: Mary Jane Payne
Certificate Number: C-50071
Date of Death: January 6, 1912
Gender: Female
Race: Colored
Marital Status: W
Age at Death: 1851 60
Place of Birth: Maryland
Place of Death: Cumberland Place, 713
Years in Baltimore: 20
Primary Cause of Death: Acute Catarrhal Gastritis or Acute Indigestion
Father’s Name: George Davis, Maryland
Mother’s Maiden Name: Mary Davis, Maryland
Occupation: Domestic
Date of Burial: 1/9/1912
Informant: Oliver Payne, 713 Cumberland Place
Undertaker: Charles G Bailey, 1421 Jefferson St
Death Record Series ID: CM1132-111.xlsx