Isle of Wight County Virginia USGenWeb Archives Vitals.....Bradshaw, Annie R.V., 1923 

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Annie Rose Virginia BRADSHAW, 
     10 Jun 1923 - 26 Sep 1923, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 710, No. 22639 
Commonwealth of Virginia 
Bureau of Vital Statistics {BVS} 
State Board of Health 
Form No. 12 

Place Of Death: Isle of Wight Co.; Hardy District 
Registration District No. 460A 
Registered No. 5 

Full Name: Annie Rose Virginia Bradshaw 
Residence: [blank] 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Marital Status: Single 

Date of Birth: June 10, 1923 
Age: 3 months 

Occupation: None 

Birthplace: Isle of Wight, Co. Va. [sic] 

Father: 
-Name: J. Eddie Bradshaw 
-Birthplace: Isle of Wight Co. Va. 

Mother: 
-Maiden Name: Essie Lee Johnson 
-Birthplace: Isle of Wight Co. Va. 

Informant: J. Eddie Bradshaw 
            Zuni, Va. 

Burial or Removal: Antioch Church*, 9-26, 1923 [sic] 
Undertaker: C.W. Bailey 
             Windsor, Va. 

Filed: Oct 1, 1923 
Registrar: W.C. Andrews 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Sept. 26, 1923 

I Hereby Certify, 
That I attended deceased from Sept. 25, 1923 to Sept. 25, 1923 
I last her alive on Sept. 25, 1923 
Death is said to have occurred, on date stated above, at 7 P.M. 

The Cause of Death was as follows: 
   Entero-Colitis 
   [Health Dept. code 113] 
Duration: [blank] 

Contributory (Secondary): [blank] 

Did an operation precede death? [blank] 

Was there an autopsy? No 

What test confirmed diagnosis? [blank] 

(Signed) 
R. Lee Seward, M.D. 
   Isle of Wight, Va. 
9-28-1923 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1923-710-22639 


Additional information: 

*Isle of Wight County Historical Society, Grave Site Survey Task Force list: 
 http://www.iwchs.com/Documents/Antioch%20Church_Antioch%20Rd_Cemetery.doc 

Her father's obit ("Virginian-Pilot," May 11, 1935, p. 13, col. 6) 
   is posted at: 
http://files.usgwarchives.net/va/isleofwight/obits/b632j14o.txt 


Contributed for use in USGenWeb Archives by: 
Matt Harris, zoobug64@aol.com (Apr 2013) [brackets mine] 

file size: 4 Kb 

file at: 
http://files.usgwarchives.net/va/isleofwight/vitals/deaths/b632a2dc.txt