Nansemond-Isle of Wight-Southampton County Virginia USGenWeb Archives Vitals.....Uzzell, John F., 1926 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/va/vafiles.htm ************************************************ John Franklin UZZELL, 15 Mar 1852 - 21 Jan 1926, death certificate [Official Form (printed); handwritten responses ] Form No. 12. ______________________________________________________________________________ [header] Certificate of Death 1. Place Of Death Commonwealth of Virginia County Of Bureau of Vital Statistics 1435 [stamped] District of State Board of Health Or ____ Inc. Town of [blank] Or Registration District No. <612A> Registered No. <2> City of [blank] (No. [blank] St. [blank] Ward) 2. Full Name (A) Residence. No. [blank] St. [blank] Ward [blank] (Usual place of abode) (If non-resident give city or town and State) ______________________________________________________________________________ ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ [column 1 of 2] Personal and Statistical Particulars ______________________________________________________________________________ 3. Sex 4. Color or Race 5. Single, Married, Widowed, or Divorced (write the word) 5A. If Married, Widowed, or Divorced, Husband of (or) Wife of [blank] 6. Date of Birth 19<[overwritten; form too specific]> 7. Age <73> Years [blank] Months [blank] Days 8. Occupation of Deceased (a) Trade, profession, or particular kind of work (b) General nature of industry, business, or establishment in which employed (or employer) [blank] (c) Name of employer [blank] ______________________________________________________________________________ 9. Birthplace (City or Town) [blank] (State or Country) ______________________________________________________________________________ Parents 10. Name of Father 11. Birthplace of Father (City or Town) [blank] (State or Country) 12. Maiden Name of Mother 13. Birthplace of Mother (City or Town) [blank] (State or Country) ______________________________________________________________________________ 14. Informant (Address) ______________________________________________________________________________ 15. Filed , 19<26> Registrar ______________________________________________________________________________ ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ [column 2 of 2] Medical Certificate of Death ______________________________________________________________________________ 16. Date of Death 19<26> 17. I Hereby Certify, That I Attended Deceased From <1-21->, 19<26> To <1-21->, 19<26> That I Last Saw H Alive On <1-21->, 19<26> And That Death Occured, On Date Stated Above, At <10 a.>M. The Cause of Death* Was As Follows: <74a> Duration [blank] Yrs. [blank] Mos. [blank] Ds. Contributory [blank] (Secondary) Duration [blank] Yrs. [blank] Mos. [blank] Ds. 18. Where was disease contracted if not at place of death? [blank] Did an operation precede death? [blank] Date of [blank] Was there an autopsy? [blank] What test confirmed diagnosis? [blank] (Signed) , M.D. <1-22->, 19<26> (Address) *State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCI- DENTAL, SUICIDAL, or HOMICIDAL. ______________________________________________________________________________ 19. Place of Burial, Cremation or Removal Date of Burial <1-23-26> 20. Undertaker Address ______________________________________________________________________________ ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ [document end] The Library of Virginia (LVA), Richmond, VA Bureau Of Vital Statistics, Death Certificate 845-1435 [There are several errors in the personal particulars: John was likely born in Southampton Co.- his family did not move to Isle of Wight until after 3 Aug 1860 (Census). Father William (Sr.) claimed he was born in Southampton Co. to David & Mary, but David has not been found in any other records. (2m.rec., IoW- see below). William 1m. Margaret J. "Peggy" COUNCIL (bond 1 Mar 1849, Southampton Co.); Wm. 2m. Texanna VAUGHN (10 Sep 1864/5, IoW {given in each year in m.register}; the wives' data was blended. The informant is John's daughter Elsie 'Reva' (UZZELL; Mrs. Henry O.) BYRD.] [John Franklin and wife Elizabeth J. (ATKINS) UZZELL are mistakenly given on a list of interments at Oakland Christian Church, near Chuckatuck. The plot at Antioch Christian Church is marked on the corners "J.F.U." Elizabeth has a footstone marked "E.J.U." and a 4' column. The column was likely intended for both, but it is only engraved on one side- "ELIZABETH J. UZZELL, wife of J. F. UZZELL, Oct. 18, 1855 - Mar. 9, 1916."] Contributed for use in USGenWeb Archives by: Matt Harris (Zoobug64@aol.com) [brackets & capitalization mine]. transcripts from Family Bible at: http://files.usgwarchives.net/va/isleofwight/bibles/u240j1bl.txt file at: http://files.usgwarchives.net/va/nansemond/vitals/deaths/u240j1dc.txt