Isle of Wight County Virginia USGenWeb Archives Vitals.....Hines, Nancy A. Spivey, 1922 

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Nancy A. (SPIVEY; Mrs. W.H.) HINES, 
     15 May 1874 - 7 Oct 1922, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 22190 
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. 19 

Full Name: Nancy Hines 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: female 
Color or Race: White 
Marital Status: Married 
Spouse of: W.H. Hines 
Date of Birth: May 15, 1874 
Age: 48 years, 4 months, 22 days 

Occupation: Domestic [code 111] 

Birthplace: Va. [code 46] 

Father: 
-Name: Benj. Spivy 
-Birthplace: Isle of Wight [code 46]  

Mother: 
-Maiden Name: Mary Louisa Redd 
-Birthplace: Isle of Wight [code 46]  

Informant: W.H. Hines 
            Windsor 

Burial or Removal: Colossee*, Oct. 8, 1922 
Undertaker: C.W. [illegible; Bailey] 
           Windsor, Va. 

Filed: Oct. 8, 1922 
Registrar: Ethel L. Deans 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Oct. 7th, 1922 

I Hereby Certify, 
That I attended deceased from 
Mar., 1921 to Oct. 7, 1922 
I last her alive on Oct. 1, 1922 
and that death occurred, on date stated above, at ____ _.M. 

The Cause of Death was as follows: 
   Pulmonary Tuberculosis. [code 31] 
Duration: 7 mos.  


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, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1922-22190 


*Additional information: 

Isle of Wight County Historical Society {IWCHS} Grave Site Survey Task Force 
   {GSSTF} list for Colosse Baptist Church Cemetery, Collosse, incorrectly 
   gives surname as "HINDS": 
   http://www.iwchs.com/Documents/Collosse_Rhodes%20Dr_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/h520n1dc.txt