Isle of Wight County Virginia USGenWeb Archives Vitals.....Jones, Herbert F., 1923 

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Herbert Franklin JONES, 
     21 Feb 1923 - 27 Mar 1923, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 7716 
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 [blank] 
Registration District No. [blank] 
Registered No. 1/5 

Full Name: Herbert Franklin Jones 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: White 
Marital Status: Infant 
Date of Birth: Feb 21, 1923 
Age: 1 month, 5 days 

Occupation: Infant 

Birthplace: Isle of Wight Co. 

Father: 
-Name: G.F. Jones 
-Birthplace: Isle of Wight Co, Va 

Mother: 
-Maiden Name: Julia Warren 
-Birthplace: Surry Co, Va 

Informant: G.F. Jones 
            Isle of Wight Co, Va 

Burial or Removal: Mill Swamp, Va*, 3-28, 1923 
Undertaker: L.G. Jones 
           Smithfield  R.F.D. 

Filed: Mch __, 1923 
Registrar: Geo.H. Warren 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: March 27, 1923 

I Hereby Certify, 
That I attended deceased from 
March 26, 1923 to March 27, 1923 
I last him alive on March 26, 1923 
and that death occurred, on date stated above, at 12 P.M. 

The Cause of Death was as follows: 
      Broncho pneumonia [code 100a] 
      over 
Duration: 5 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? None 

(Signed)  T.H. Massey, M.D. 
3-28, 1923    Smithfield, Va. 
______________________________________________________________________________ 



[overleaf; cut-&-pasted to back of certificate] 

   Acute Bronchitis 
Contributory cause: [blank] 

[end] 



The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 1923-7716 

*Additional information: 

Isle of Wight County Historical Society {IWCHS} Grave Site Survey Task Force 
   {GSSTF} list for Mill Swamp Baptist Church Cemetery: 
   http://www.iwchs.com/Documents/Mill%20Swamp_Mill%20Swamp%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/j520h1dc.txt