Isle of Wight-Southampton County Virginia USGenWeb Archives Vitals.....Beale, Henry, 1912 

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Henry BEALE, 2 Feb 1838 - 31 Dec 1912, 
   death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 13704 [orig. File No. 13246] 
Commonwealth of Virginia 
State Board of Health 
Bureau of Vital Statistics {BVS} 
H.D.V.S. Form No. 12, 200M.--6-15-12. 

Place Of Death: Isle of Wight Co.; Windsor District 
Registration District No. 462C 
Registered No. 1 

Full Name: Henry Beale 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: white 
Marital Status: married 

Date of Birth: Feb. 2, 1838 [altered from Feb. 3, 1848] 
Age: 74 yrs, 10 mos, 29 ds. [day count altered] 

Occupation: Farmer 

Birthplace: Va. 

Father: 
-Name: Jessee Beale 
-Birthplace: Virginia 

Mother: 
-Maiden Name: Nancy Hedgpeth 
-Birthplace: N.C. 

Informant: Geo. W. Beale 
            Franklin, Va. 

Filed: Jan. 4, 1913 
Local Registrar: B.M. Cutchin 
______________________________________________________________________________ 

Medical Certificate of Death 

Date of Death: December 31, 1912 

I Hereby Certify, 
That I attended deceased from Dec. 15, 1912, to Dec. 31, 1912, 
    that I last saw him alive on Dec. 30, 1912, 
    and that death occurred, on the date stated above, 
    at 4 P.M. 

The Cause of Death was as follows: 
   Dropsey - Mitral Regurgitation 
Duration: 15 ds. 

Contributory (Secondary): [blank] 

(Signed) 
Ashley P. Cutchin, M.D., Franklin, Va. 
Jan. 1, 1913 

Burial or Removal: Near Joyner Bridge, Southampton*, Jany. 2, 1913 
Undertaker: W.J.M. Holland, Franklin, Va. 
______________________________________________________________________________ 


The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 27-13704 


*Cemetery location not known (Oct 2012) to the Southampton County Historical 
   Society {SCHS} Cemetery Project. 


Contributed for use in USGenWeb Archives by: 
Matt Harris, zoobug64@aol.com (Oct 2012) [brackets mine] 

file size: 3 Kb 

file at: 
http://files.usgwarchives.net/va/isleofwight/vitals/deaths/b400h1dc.txt