Southampton County Virginia USGenWeb Archives Vitals.....Brown, Floyd, 1930 

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Floyd BROWN, d. 14 Dec 1930, death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, 1146, No. 29864 
Commonwealth of Virginia 
Department of Health 
Bureau of Vital Statistics {BVS} 

Place Of Death: Southampton Co.; Magisterial District of Berlin Ivor 
Registration District No. 871-C; Registered No. 40 

Full Name: Floyd Brown 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: Negro 
Married; 
Husband of: Clara Ritter Brown 
Date of Birth: Don't Know 
Age: about 22 Years 

Occupation- 
Trade: Laborer 
Industry: Famer [sic, or Farner; Farmer] 

Birthplace: Southampton 

Father: 
-Name: Dock Brown 
-Birthplace: Southampton 

Mother 
-Maiden Name: Mary Brown 
-Birthplace: Southampton 

Informant: Junie Brown 

Burial, Cremation, or Removal: Southampton, Dec. 16, 1930* 
Undertaker: Ivor Hdwe Co [Ivor Hardware Co.] 
            Ivor, Va    E.J. Raiford 

Filed: Jan. 3, 1931 [altered from "1930"] 
Registrar: Thos. M. Pulley 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Dec. 14, 1930 


The Cause of Death was as follows: 
Death Caused by 
Auto wreck due to too much 
 Alcohol 
[Health Dept. code] 188C) 

E.H. Stephenson  J.P. 
   Held Inquest 

[check mark] 
If Death was due to External Causes (Violence) Fill in also the 
Following: 
Accident, Suicide, or Homicide? [blank] Date of Injury }  (Over) 
Where did injury occur?                                } 

Manner of Injury  } Killed Instantly 
Nature of Injury  } 

Was disease or injury in any way related to occupation of deceased? [blank] 

(Signed) 
[blank] 
______________________________________________________________________________ 


[overleaf; handwritten note (below typed header) cut-&-pasted to the reverse]
_______________________________________________________ 

                Special Agent, Bureau of the Census, 
This accidnd [sic] occureed [sic] in Southampton 
County  Berlin Ivor District about 3 
                          State 
mles [sic] South of Ivor on ^ Route # 508 
_______________________________________________________ 


The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1930 1146-29864 


Contributed for use in USGenWeb Archives by: 
Matt Harris, Zoobug64@aol.com (Dec 2011) [brackets mine] 

file size: 3 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/b650f1dc.txt