Isle of Wight-Southampton County Virginia USGenWeb Archives Vitals.....Lewis, Salathiel, 1912 

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Salathiel "Slate" LEWIS, 8 Aug 1840 - 4 Dec 1912, 
   death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 13700 [orig. File No. 13242] 
Commonwealth of Virginia 
State Board of Health 
Bureau of Vital Statistics {BVS} 
H.D.V.S. Form No. 12, 200M.--6-15-12. 

Place Of Death: Isle of Wight Co. 
Registration District No. 462 
Registered No. 10 

Full Name: Salathiel Lewis 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: White 
Marital Status: Married* 

Date of Birth: Aug. 8, 1840 
Age: 72 yrs, 3 mos, 22 ds. [?; day count altered] 

Occupation: Salesman 

Birthplace: Southampton Co., Va. 

Father: 
-Name: Elisha Lewis 
-Birthplace: Southampton Co., Va. 

Mother: 
-Maiden Name: Nancy Butler 
-Birthplace: Southampton Co., Va. 

Informant: Mrs. A.W. Fraiser[?] 
            Norfolk, Va. 

Filed: Dec. 2, 1912 
Local Registrar: J.F. Duke 
______________________________________________________________________________ 

Medical Certificate of Death 

Date of Death: December 1, 1912 [altered from Dec. 2] 

I Hereby Certify, 
That I attended deceased from July 1912, to Dec. 1912, 
    that I last saw him alive on Nov. -, 1912, 
    and that death occurred, on the date stated above, 
    at 9 _.M. 

The Cause of Death was as follows: 
   Organic Heart Disease - 
  Mitral Lesions 
Duration: 2 yrs, 3 mos. 
    
Contributory (Secondary): 
   Rheumatism 
Duration: 10 yrs. 

(Signed) 
Gavin Rawls, M.D., Carrsville 
Dec. 2, 1912 

Length of Residence: 
-At place of death: 2 yrs. 
-In the state: 72 yrs, 3 mos, 23 days [?; altered] 
Former or usual Residence: Carrsville, Va. 

Burial or Removal: Southampton Co.*, Dec. 2, 1912 
Undertaker: W.J.M. Holland, Franklin, Va. 
______________________________________________________________________________ 


The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 13700 


*Additional information: 

Interred with parents & wife in the LEWIS family cemetery, Unity Rd. 
   Southampton County Historical Society {SCHS} Cemetery Project, 
      Miscellaneous Cemeteries, Vol. 2 (II-1): 
   http://files.usgwarchives.net/va/southampton/cemeteries/miscvol2.txt 

The list gives wife Martha Ann (CAMP) LEWIS (b. 1838) as having died 
   7 Aug 1903, though he may have remarried. 

Salathiel Lewis, 21, Single, b. & res. Southampton Co., 
   sn/o Elisha Lewis & Nancy his wife, Farming 
Martha A. Camp, 22, Single, b. & res. Southampton Co., 
   dt/o John Camp & Sally Camp 
m.lic. 21 Jan 1861, by clerk L.R. Edwards 
m. 31 Jan 1861, Southampton, by Saml. H. Holmes 
(Southampton Co. MB1:83; M.Reg. 1853-72, p. 10, ln. 10) 

Contributed for use in USGenWeb Archives by: 
Matt Harris, zoobug64@aol.com (Oct 2012) [brackets mine] 

file size: 4 Kb 

file at: 
http://files.usgwarchives.net/va/isleofwight/vitals/deaths/l200s1dc.txt