Isle of Wight County Virginia USGenWeb Archives Vitals.....Gay, Hattie Walker, 1921 

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Hattie (WALKER; Mrs. James R.) GAY, 
     11 Mar 1872 - 3 Jun 1921, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 581, No. 13001 
Commonwealth of Virginia 
Bureau of Vital Statistics {BVS} 
State Board of Health 
Form No. 12. 

Place Of Death: County of Isle of Wight; 
                Magisterial District of Newport 
Registration District No. 461C 
Registered No. 4 

Full Name: Hattie Gay 
Residence:       Windsor, Va. 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: F 
Color or Race: W 
Marital Status: married 
Spouse of: Jas. R. Gay 
Date of Birth: March 11- 1872 
Age: 49 years, 2 months, 24 days 

Occupation: Domestic 

Birthplace: Va. 

Father: 
-Name: Adden Geo. Walker  
-Birthplace:  Va. 

Mother: 
-Maiden Name: Ella Taylor  
-Birthplace:        Va. 

Informant: Jesse Gay 
            Windsor, Va. 

Burial or Removal: Antioch Church*, 6/4, 1921 
Undertaker: C.W. Bailey 
             Windsor, Va. 

Filed: 6/4, 1921 
Registrar: E. Littleton Laine 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: June 3, 1921 

I Hereby Certify, 
That I attended deceased from 
June 2, 1921 to June 3, 1921 
I last her alive on June 2, 1921 
and that death occurred, on date stated above, at 1 A.M. 

The Cause of Death was as follows: 
      Appoplexy 
Duration: 3 hrs 

Contributory (Secondary): [blank] 

Where was disease contracted if not at place of death? [blank] 

Did an operation precede death? [blank] 

Was there an autopsy? [blank] 

What test confirmed diagnosis? [blank] 

(Signed)  T.G. Bradshaw, M.D. 
[not dated]   Windsor, Va. 
______________________________________________________________________________ 



The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 1921-581-13001 

*Additional information: 

Apparently unmarked; does not appear on the Isle of Wight County Historical 
   Society {IWCHS} Grave Site Survey Task Force {GSSTF} list for 
   Antioch Christian Church Cemetery.  File at: 
   http://www.iwchs.com/Documents/Antioch%20Church_Antioch%20Rd_Cemetery.doc 


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

file size: 3 Kb 

file at: 
http://files.usgwarchives.net/va/isleofwight/vitals/deaths/g600h1dc.txt