| Page (PDF) | 25 |
|---|---|
| Certificate Number | 4060 |
| Name of Deceased | Rayne, no name |
| Place of Death | Worcester |
| Town of Death | Ocean City |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 3/17/1913 |
| Age (year, month, days) | 4 ds. |
| Occupation or Employer | none |
| Birthplace | Ocean City Md |
| Father's Name | Geroge Rayne, col |
| Father's Birthplace | Taylorville Md |
| Mother's Name | Gertrude Powell, col |
| Mother's Birthplace | Trenton NJ |
| Informant (Relationship and Address) | George Rayne, col; Ocean City Md |
| Date of Death | 3/21/1913 |
| Cause of Death and Time Attended by Doctor | congestion of lungs due to exhaustion . |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Francis Townsend; Ocean City Md |
| Burial Place, Date, Undertaker, and Address | Berlin Colored Peoples Cemetery 3/ ; Elzy Ayres, 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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