Southampton County Virginia USGenWeb Archives Vitals.....Brinkley, infant, 1913 

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Infant son BRINKLEY, 
   still born, 12 Jun 1913, 
   death certificate abstract 

______________________________________________________________________________ 

H.D.V.S. Form No. 12, 200M.--6-15-12. 
Certificate of Death, Vol. 66, File No. 15870 
Commonwealth of Virginia 
State Board of Health 
Bureau of Vital Statistics {BVS} 

Place Of Death: Southampton Co.; Inc. Town of Franklin 
Primary Registration District No. 2874 
Registered No. 31 

Full Name: Infant 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: White 
Marital Status: X 

Date of Birth: June 12, 1913 
Age: X yrs., X mos., X ds. 
     If LESS than 1 day, ___ hrs. or ___ min.? 

Occupation: X 

Birthplace: Southampton Co. 

Father: 
-Name: Ernest K. Brinkley 
-Birthplace: Nansemond Co. 

Mother: 
-Maiden Name: Sudie Howell  
-Birthplace: Nansemond Co. 

Informant: E.K. Brinkley 
           Franklin, Va. 

Filed: June 13, 1913 
Local Registrar: C.C. Vaughan 
______________________________________________________________________________ 

Medical Certificate of Death 

Date of Death: June 12, 1913 

I Hereby Certify, 
That I attended deceased from June 12th, 1913, to June 12, 1913, 
    that I last saw him alive on June 12th, 1913, 
    and that death occurred, on the date stated above, 
    at 6 A.m. 


The Cause of Death was as follows: 
   Still born 
Duration: [blank] 

Contributory (Secondary): Puerperal Eclampsia in mother 
Duration: [blank] 

     (Signed)  Geo.W. Hayes, M.D. 
June 12th, 1913      Franklin, Va. 

Burial or Removal: Poplar Spring Cemetery*, 6/13, 1913 
Undertaker: W.J.M. Holland 
            Franklin, Va.
______________________________________________________________________________ 


The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 1913-66-15870 


*Additional information: 

Buried in Poplar Spring Cemetery, Franklin; unmarked. 
   Added to parents plot - Section 2, Plot 1A. 
   Southampton County Historical Society {SCHS} Cemetery Project, 
   Poplar Spring list: 
   http://files.usgwarchives.net/va/southampton/cemeteries/poplar2.txt 

His father's obit ("Tidewater News," Sep. 3, 1970) is posted at: 
   http://files.usgwarchives.net/va/southampton/obits/b652e1ob.txt 


Contributed for use in USGenWeb Archives by: 
Matt Harris, zoobug64@aol.com (Aug 2014) [brackets mine] 

file size: 4 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/b652i1dc.txt