Southampton County Virginia USGenWeb Archives Vitals.....Bradshaw, Clyde H. Jr., 1920 

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Clyde Henry BRADSHAW, Jr., 22 Sep 1920 - 12 Oct 1920, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 547, No. 25245 
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. 19 

Full Name: Clyde Bradshaw Jr. 
Residence: [blank] 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: male 
Color or Race: White 
Marital Status: Single 

Date of Birth: September the 20, 1920 
Age: 22 days 

Occupation: none 

Birthplace: Southampton Co., Va. 

Father: 
-Name: C.H. Bradshaw 
-Birthplace: Va. 

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

Informant: L.E. Bradshaw 
            Franklin R.F.D. 

Burial or Removal: family Burrying Ground* 
Undertaker: Clyde Bradshaw 
               Sedley, Va. 

Filed: Oct. 12, 1920 
Registrar: A.G. Bradshaw 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Oct. 12, 1920 

I Hereby Certify, 
That I attended deceased from Oct. [day struck] to Oct. 11, 1920 
I last him alive on Oct. 11, 1920 
Death is said to have occurred, on date stated above, at 9:35 A.M. 

The Cause of Death was as follows: 
Bronichal .pneumonia [sic; Bronchial] 
Duration: 4 ds. 

Contributory (Secondary): 
Whooping Cough 
Duration: 7 ds. 

Where was the disease contracted if not at place of death? place of death 

(Signed) 
Edw.B. Kilby, M.D. 
   Sebrell, Va. 
[not dated] 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1920-547-25245 


Additional information: 

*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 

   His 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 daughter, Annie Laurie, d. 27 Jun 1923.  An abstract 
   of her death certificate (1923, Vol. 698, No. 16693) is posted at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/b632a1dc.txt 

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

Their 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/b632c1dc.txt