Carroll-Henry-Jasper County GaArchives Deaths.....THOMPSON, Annie Pearl December 15, 1922 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ga/gafiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Milisia Hanlin ninebetweens@aol.com April 8, 2008, 12:33 pm Name: THOMPSON, Annie Pearl Date Of Death: December 15, 1922 Time: 9:00 P.M. Place Of Death: Georgia Militia District 1541, Banning, Carroll County, Georgia, USA Residence: Georgia Militia District 1541, Banning, Carroll County, Georgia, USA Gender: Female Race: W Age: 25 Marital Status: Single Spouse: Date Of Birth: April 6, 1897 Place Of Birth: [Carroll County], Georgia [County Added by Submitter] Mother's Name: THOMASTON, Barbery/Barbary [Barbara] Ann Mother's Birthplace: Georgia, USA Father's Name: THOMPSON, S. [Selathiel/Salathiel] A. Father's Birthplace: Georgia, USA Cause Of Death: Praylisa [Paralysis?? Spelling] & Congestion of Lungs Hospital: Not Applicable SS Number: Not Applicable Occupation: At Home Funeral Home: J. N. JOHNSON, Undertaker Doctor: N. V. COLLINS, MD Coroner: H. C JONES, Registrar, Carroll County, Georgia, USA Informant: W. [William] A. [Asbury/Ashbury] THOMPSON [this was one of her father's brothers] Date Of Burial: December 17, 1922 Place Of Burial: Clem United Methodist Church Cemetery, Clem, Carroll County, Georgia, USA Date Recorded: January 9, 1923 Source Of Record: Georgia State Board of Health; Bureau of Vital Statistics: Standard Certificate of Death Certificate No.: Georgia Death Certificate: 31296 "State of Georgia Bureau of Vital Statistics 1. Place of Death: Carroll County, GA; County of Death: Carroll County, GA; Militia District of 1541 [Banning, Carroll County, GA]; Registration District No. 1541 Registered No. GA 31276 City of Banning, GA; (No._________________________ St.) 2. FULL NAME: ANNIE PEARL THOMPSON Residence No. ________________________________ (Usual Place of Abode) St.___________________________________________ (If non-resident, give city or town and State) PERSONAL and STATISTICAL PARTICULARS: 3. SEX: Female; 4. COLOR or RACE: White; 5. Single, Married, Widowed or Divorced (write the word): SINGLE; 5a. If married, widowed, or divorced, HUSBAND of: _____; (or) WIFE of: _____; 6. DATE OF BIRTH (mo, da, yr.): _____; 7. AGE: 25 yrs; _____ mos; _____ da; If less than 2 years state if breast fed: Yrs _____ Mos _____ If less than 1 day: _____ hrs. _____ mins. 8. OCCUPATION (a) Trade, profession or particular kind of work: _____; (b) General nature of Industry, location or establishment in which employed (or employer): _____ ; 9. BIRTHPLACE (State or country): GA; 10. NAME OF FATHER: S. A. THOMPSON; 11. BIRTHPLACE OF FATHER (State or country): GA; 12. MAIDEN NAME OF MOTHER (Barbery Ann THOMASTON); 13. BIRTHPLACE OF MOTHER (State or Country): GA; 14. THE ABOVE IS TRUE: (INFORMANT): W. A. THOMPSON; (ADDRESS) Banning, GA; 15. Recorded: Jan 9, 1923; H. C. JONES, Registrar.; MEDICAL PARTICULARS: 16. DATE OF DEATH: _____12/15—9 P.M. 1922_____; 17. I HEREBY CERTIFY, That I attended deceased from _____ 19-- to _____ 19- -that I last saw h-- alive on _____ 19—and that death occurred on the date stated above, at _____. The CAUSE OF DEATH was as follows: [Paralysis] Praylysis? [Spelling] and Congestion of Lungs; as above (duration); stated yrs. _____ mos. Above (stated) da.; CONTRIBUTORY (Secondary): _____; __ yrs; _____ mos.; _____ da.; 18. Where was disease contracted? _____; Did an operation precede death? _______ Date of: _____above stated_____; Was there an autopsy? __________ What test confirmed diagnosis: _____; (Signed) //x// N. V COLLINS, M.D. Address: Banning, [Carroll County], GA; 19. PLACE OF BURIAL, CREMATION, or REMOVAL: Clem Cemetery-Carroll [County, GA]; Date: 12-17-1922; 14. UNDERTAKER: (Signed) //x// J. N. JOHNSON, Carrollton, [Carroll County], GA;" Source Citation and Source Information: Georgia State Board of Health. Bureau of Vital Statistics. Standard Death Certificate. Annie Pearl THOMPSON. December 15, 1922. Georgia Death Certificate: 31296. Additional Comments: Annie Pearl THOMPSON was born April 6, 1897, in Carroll County, Georgia, USA; she died December 15, 1922, in Banning, Carroll County, Georgia, USA, age 25 years, 0 months, and 00 days. She is buried in Clem United Methodist Church Cemetery, in Clem, Carroll County, Georgia, USA; the name enumerated on her cemetery grave marker reads ‘Pearl Ann THOMPSON’. Annie Pearl THOMPSON was single and never married; she was a daughter of S. A. [Selathiel/Salathiel A. "Sam"] THOMPSON and his wife Barbery/Barbary 'Barbara' Ann THOMASTON [married surname: THOMPSON]. Both her parents are likewise buried nearby in the church cemetery at Clem United Methodist Church, in Clem, Carroll County, Georgia, USA. Annie Pearl THOMPSON was the granddaughter of Reverend Francis 'Frank' Asbury THOMPSON, born circa 1837, and his wife, Malinda Elizabeth [OTWELL] THOMPSON, born circa 1836; both Annie Pearl's grandparents late of Carroll County, Georgia, also buried in the church cemetery at Clem United Methodist Church, in Clem, Carroll County, Georgia, USA; Annie Pearl THOMPSON was a greatgranddaughter of [Rev.] Chesley/Chestley [Charles B.] THOMPSON, born circa 1804, and his wife, Mary Ann 'Polly' HUDGENS THOMPSON, born circa 1813, late of Georgia; she was a great great granddaughter of Henry THOMPSON, d. circa 1817-1826, Jasper County, Georgia, and a great great granddaughter of North Carolina Revolutionary War Veteran, William HUDGENS, and his wife, Martha HUDGENS. File at: http://files.usgwarchives.net/ga/carroll/vitals/deaths/thompson185dt.txt This file has been created by a form at http://www.poppet.org/gafiles/ File size: 6.3 Kb