Isle of Wight-Surry County Virginia USGenWeb Archives Vitals.....Hunnicutt, Edith A., 1921 

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Edith Adeline HUNNICUTT [HUNNYCUTT], 
     1 Apr 1847 - 19 Mar 1921, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 5914 
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 Hardy 
Registration District No. 461-B 
Registered No. 17 

Full Name: Edith Adeline Hunnycutt 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Marital Status: Single 
Date of Birth: April 1st, 1847 
Age: 74 years, 11 months, 19 days 

Occupation: formely [sic] 
               Housewife 

Birthplace: Surry va 

Father: 
-Name: Benjamin Hunnycutt 
-Birthplace: Sury Va [sic] 

Mother: 
-Maiden Name: Lavinia Hunnycutt 
-Birthplace: Surry Va 

Informant: T.A. Batten 
            R.F.D. #2 

Burial or Removal: Bacon Castel [sic; Bacon's Castle*], March 20, 1921 
Undertaker: G.W. Cofer 
            Smithfield, Va. 

Filed: Mar. 21, 1921 
Registrar: J. Walter Stott 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Mch. 19, 1921 

I Hereby Certify, 
That I attended deceased from 
Mch. 17, 1921 to Mch. 19, 1921 
I last her alive on Mch. 19, 1921 
and that death occurred, on date stated above, at 10 P.M. 

The Cause of Death was as follows: 
   Shock due to broken 
   hip - 
Duration: 8 ds. 

Contributory (Secondary): [blank] 

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

Did an operation precede death? no 

Was there an autopsy? no 

What test confirmed diagnosis? [blank] 

(Signed)  L.C. Brock, M.D. 
3-20, 1921   Smithfield, Va. 
______________________________________________________________________________ 



The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1921-5914 


*Cemetery not posted (Oct 2013) by the Surry County Historical Society. 


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/h523e1dc.txt