| Page (PDF) | 41 |
|---|---|
| Certificate Number | 12155 |
| Name of Deceased | Rayne, no name |
| Place of Death | Worcester |
| Town of Death | Oean City |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | - |
| Date of Birth | 7/19/1915 |
| Age (year, month, days) | dead borned |
| Occupation or Employer | x |
| Birthplace | Ocean City Md |
| Father's Name | George Rayne, col |
| Father's Birthplace | Berlin Md |
| Mother's Name | Girtie Greenbrier? |
| Mother's Birthplace | Philadelphia |
| Informant (Relationship and Address) | George Rayne, col; Ocean City Md |
| Date of Death | 7/19/1915 |
| Cause of Death and Time Attended by Doctor | premature birth term 5 months |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | FJ Townsend; Ocean City Md |
| Burial Place, Date, Undertaker, and Address | Pitts Graveyard Taylorville; 7/19/1915; Elzy Suris?, col; Ocean City |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
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