Southampton County Virginia USGenWeb Archives Vitals.....Atkinson, Mary G., 1912 

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Mrs. Mary Geneva ATKINSON, 
   5 Mar 1872 - 1 Aug 1912, death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 5377 
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: Southampton Co.; Franklin District 
Primary Registration District No. 874 
Registered No. 16 

Full Name: Mary Geneva Atkinson 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Marital Status: Married ["single" struck] 

Date of Birth: March 5, 1872 
Age: 40 yrs, 4 mos, 25 ds. 

Occupation: Hous Keep 

Birthplace: dont no 

Father: 
-Name: dont no 
-Birthplace: dont no 

Mother: 
-Maiden Name: dont no 
-Birthplace: dont no 

Informant: T.E. Beale 
            Fraklin, Va [sic- Franklin] 

Filed: 8/1, 1912 
Local Registrar: C.C. Vaughan 
______________________________________________________________________________ 

Medical Certificate of Death 

Date of Death: Aug. 1, 1912 

I Hereby Certify, 
That I attended deceased from July 25, 1912, to Aug. 1, 1912, 
    that I last saw her alive on about July 28, 1912, 
    and that death occurred, on the date stated above, 
    at 7 A.M. 


The Cause of Death was as follows: 
   Tuberculosis 
Duration: 1 yr. 

Contributory (Secondary): 
   [blank] 

(Signed) 
Ashley P. Cutchin, M.D. 
       Franklin, Va. 
Aug. 1, 1912 

Burial or Removal: Black Creek*, Aug. 2, 1912 
Undertaker: W.J.M. Holland, Franklin, Va 
______________________________________________________________________________ 


The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 1912-5377 


Additional information: 

*Does not appear on the list for Black Creek Baptist Church Cemetery; 
   however, the following entry could be her son- 
   ALVIN W. ATKINSON 
   07-21-1892 
   08-22-1921 
   S/O U.L. & G.W. ATKINSON 
 Southampton County Historical Society {SCHS} Cemetery Project, 
      Black Creek list (BC-1): 
   http://files.usgwarchives.net/va/southampton/cemeteries/blkcrk.txt 

Does not appear in Southampton Co. marriage records. 

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

file size: 3 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/a325m1dc.txt