Southampton County Virginia USGenWeb Archives Vitals.....Bradshaw, Annie L., 1923 

************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/va/vafiles.htm
************************************************

Annie Laurie BRADSHAW, 19 Jan 1923 - 27 Jun 1923, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 698, No. 16693 
Commonwealth of Virginia 
Bureau of Vital Statistics {BVS} 
State Board of Health 
Form No. 12 

Place Of Death: Southampton Co.; Jerusalem District 
Registration District No. 873A 
Registered No. 20 ["19" partially erased] 

Full Name: Annie Laurie Bradshaw [could read "Laura"] 
Residence: Sedley, Va. 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: F [Female] 
Color or Race: W [White] 
Marital Status: Single 

Date of Birth: Jan 19 - 23 
Age: 5 months, 3 days 

Occupation: [check mark] 

Birthplace: Va. 

Father: 
-Name: Clyde Bradshaw 
-Birthplace: Va. 

Mother: 
-Maiden Name: Delzene Raiford [sic; Cleora Delzine RAIFORD] 
-Birthplace: Va. 

Informant: A.G. Bradshaw 
            Sedley, Va. 

Burial or Removal: family Buring Ground*, 6-28, 1923  
Undertaker: W.J.M. Holland 
             Franklin, Va. 

Filed: June 27[?], 1923 
Registrar: A.G. Bradshaw 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: June 27- 1923 

I Hereby Certify, 
That I attended deceased from June 26, 1923 to June 27, 1923 
I last hir [sic] alive on June 27, 1923 
Death is said to have occurred, on date stated above, at 7 A.M. 

The Cause of Death was as follows: 
   Septicemia from 
acute Tonsillitis & 
Otitis Media=  [Health Dept. code 109B] 
Duration: 3 ds. 

Contributory (Secondary): [check mark] 

Did an operation precede death? yes   Date of  6-27-23 
                       Opening ear Drum 

Was there an autopsy? no 

What test confirmed diagnosis? none 

(Signed) 
R.L. Raiford, M.D. 
   Sedley, Va. 
[not dated] 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1923-698-16693 


Additional information: 

Her obit ("Tidewater News," July 6, 1923, p. 7) is posted at: 
http://files.usgwarchives.net/va/southampton/obits/b632a3ob.txt 

*The cemetery location is not known (Apr 2013) to the Southampton County 
   Historical Society {SCHS}.  If she buried in the Corinth Friends Meeting 
   (RAIFORD/BRADSHAW) Cemetery, she isn't marked. 
   SCHS Cemetery Project, Miscellaneous Cemeteries, Vol. 1 (I-2): 
   http://files.usgwarchives.net/va/southampton/cemeteries/miscvol1.txt 

   Her parents are buried in Rosemont Cemetery, Sedley. 
   SCHS Cemetery Project, Rosemont list (S-6): 
   http://files.usgwarchives.net/va/southampton/cemeteries/rosemont.txt 

They also lost an infant son, Clyde Jr., d. 12 Oct 1920.  An abstract of his 
   death certificate (1920, Vol. 547, No. 25245) is posted at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/b632c1dc.txt 

Annie's father's obit ("Tidewater News," Jan. 5, 1967, p. 5) is posted at: 
http://files.usgwarchives.net/va/southampton/obits/b632h3ob.txt 


Contributed for use in USGenWeb Archives by: 
Matt Harris, zoobug64@aol.com (Apr 2013) [brackets mine] 

file size: 4 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/b632a1dc.txt