Isle of Wight County Virginia USGenWeb Archives Vitals.....Gay, Nellie M., 1921 

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Nellie May GAY, 
     10 Feb 1921 - 2 Mar 1921, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 5920 
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 Windsor 
Registration District No. 462D 
Registered No. 5 

Full Name: Nellie May Gay 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Marital Status: [blank] 
Spouse of: [blank] 
Date of Birth: Feb. 10, 1921 
Age: 20 days 

Occupation: [blank] 

Birthplace: Isle of Wight Co., Va.  

Father: 
-Name: Wm. F. Gay 
-Birthplace: Va. 

Mother: 
-Maiden Name: Rosa Lee Walker 
-Birthplace: Va. 

Informant: Wm. F. Gay 
            Windsor, Va. 

Burial or Removal: Stephens Farm, Mar. 3, 1921 
Undertaker: C.W. Bailey 
           Windsor, Va. 

Filed: Mar. 3, 1921 
Registrar: Mrs. L.S. Deans 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Mar. 2, 1921 

I Hereby Certify, 
That I attended deceased from 
[blank] to [blank] 
I last h__ alive on [blank] 
and that death occurred, on date stated above, at ____ _.M. 

The Cause of Death was as follows: 
   [check mark]  (over) 
Duration: [blank] 


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)  [blank] , M.D. 

______________________________________________________________________________ 



[image 2; cut-&-pasted to blank certificate] 

was child premature 
 or weak at birth?  Yes, child never was 
      normal, no surpsicion whathever. [sic] Doctor 
      saw infant, but was not present at death. 
      Weak heart most probable cause of death. 
                                Mrs. L.S. Deans 

[end] 


The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1921-5920 


Additional information: 

The Isle of Wight County Historical Society {IWCHS} Grave Site Survey Task 
   Force {GSSTF} does not have a list for any Gay, Walker or Stephens family 
   cemetery. 


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/g600n1dc.txt