Isle of Wight County Virginia USGenWeb Archives Vitals.....Crumpler, Benjamin C., 1912 

************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/va/vafiles.htm
************************************************

Benjamin C. CRUMPLER, circa 1850* - 16 Dec 1912, 
   death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 13698 [orig. File No. 13240] 
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 
Primary Registration District No. 462A 
Registered No. 13 

Full Name: Benjiam [sic; Benjamin] Crumpler 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: White 
Marital Status: Widowed 

Date of Birth: [blank] 
Age: 64 yrs.* 

Occupation: Farmer 

Birthplace: Virginia 

Father: 
-Name: John Crumpler 
-Birthplace: Virginia 

Mother: 
-Maiden Name: Cherry Wilson 
-Birthplace: Virginia 

Informant: Irving E. Crumpler* 
            [address not given] 

Filed: 12 - 20, 1912 
Local Registrar: A. Lee Saunders 
______________________________________________________________________________ 

Medical Certificate of Death 

Date of Death: December 16, 1912 

I Hereby Certify, 
That I attended deceased from Oct. 22, 1912 to Nov. 8, 1912, 
    that I last saw him alive on Nov. 8, 1912, 
    and that death occurred, on the date stated above, 
    at ______.M. 

The Cause of Death was as follows: 
   Aortic Regurgitation 
   with failure of Compensation 
Duration: [blank] 
    
Contributory (Secondary): [blank] 
Duration: [blank] 

(Signed) 
T.G. Bradshaw, M.D., Walters, Va. 
Dec. 17, 1912 

Burial or Removal: Collossa*, Dec. 17", 1912 
Undertaker: C. W. Bailey, Windsor, Va. 
______________________________________________________________________________ 


The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 13698 


*Middle initial from Isle of Wight County Historical Society, Grave Site 
 Survey Task Force list, for Colosse Baptist Church Cemetery, Collosse, 
 which gives "1850-1912": 
 http://www.iwchs.com/Documents/Collosse_Rhodes%20Dr_Cemetery.doc 
 
 Informant Irving E. CRUMPLER (1882-1943) is also buried there. 


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/c651b1dc.txt