Southampton County Virginia USGenWeb Archives Vitals.....Ferguson, infant, 1912 

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Infant son FERGUSON, 15 Dec 1912 - 17 Dec 1912, 
   death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 14720 [orig. File No. 14245] 
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.; Inc. Town of Newsoms 
Registration District No. 872a 
Registered No. 17 

Full Name: not named Ferguson 
Residence in City: 0 yrs, 0 mos, 2 days 
______________________________________________________________________________ 

Personal and Statistical Particulars 

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

Date of Birth: Dec. 15th, 1912 
Age: 0 yrs, 0 mos, 2 ds. 

Occupation: None 

Birthplace: Southampton Co., Va. 

Father: 
-Name: Clarance Q. Ferguson [Clarence*] 
-Birthplace: Southampton Co., Va. 

Mother: 
-Maiden Name: Pecolia Worrell 
-Birthplace: Southampton Co., Va. 

Informant: [blank] 

Filed: Jan. 4, 1913 
Local Registrar: S.L. Bryant by[?] V.G. Bryant 
______________________________________________________________________________ 

Medical Certificate of Death 

Date of Death: Dec. 17, 1912 

I Hereby Certify, 
That I attended deceased from Dec. 15, 1912, to Dec. 17, 1912, 
    that I last saw him alive on Dec. 17, 1912, 
    and that death occurred, on the date stated above, 
    at 5 P.M. 

The Cause of Death was as follows: 
   The child died from an an phys- 
   i abed condition following pre- 
   mature rupture of the Sack in laber [??] 
Duration: 0 yrs, 0 mos, 2 ds. 

Contributory (Secondary): [blank] 

(Signed) 
W.B. Barham, M.D., Newsoms, Va. 
Dec. 18, 1912 

Burial or Removal: Clarance Ferguson's*, Dec. 18, 1912 
Undertaker: Gray Bro., Boykins 
______________________________________________________________________________ 


The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 14720 


*Cemetery location not known (Oct 2012) to the Southampton County Historical 
   Society {SCHS} Cemetery Project. 

His parents' marriage records: 
http://files.usgwarchives.net/va/southampton/vitals/mb14pt.txt 

verbatim, from BVS copy: 
40. m. 02/22/1912 Southampton Co., by W.J. Williams 
Clarence Q. Ferguson, 32, single, b. & res. Southampton Co., Farmer, 
   sn/o Sam & V. Ferguson 
Pecolia Worrell, 23, single, b. & res. Southampton Co., 
   dt/o J.H. & M. Worrell 

annotated, from Southampton Co. MB14:502, by Mrs. Bruce Saunders  
CLARENCE QUINTON FERGUSON, 32, S, SO.CO., SO.CO., FARMER, 
   S/O SAMUEL J. AND MARTHA ANN VICTORIA BRYANT FERGUSON 
02-22-1912 HOME OF THE BRIDE BY REV. W.J. WILLIAMS, METHODIST 
PECOLIA WORRELL, 23, S, SO.CO., SO.CO., 
   D/O JAMES HENRY AND MARY ANN POPE WORRELL 


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

file size: 4 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/f622i1dc.txt