Southampton County Virginia USGenWeb Archives Vitals.....Hines, Wm. Lee, 1912 

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William Lee HINES, 27 Nov 1912 - 28 Nov 1912, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 12273 [altered] 
Commonwealth of Virginia 
State Board of Health 
Bureau of Vital Statistics {BVS} 

Place Of Death: Southampton Co.; Drewryville District 
Registration District No. 870; Primary Registration District No. 2; 
Registered No. 7 

Full Name: Wm. Lee Hines 
Residence in City: 1 day 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: White 
Single 

Date of Birth: Nov. 27, 1912 
Age: 1 day 

Occupation: None 

Birthplace: Southampton County 

Father: 
-Name: Wm. Henry Hines 
-Birthplace: Southampton Co. 

Mother 
-Maiden Name: Dolly Ruth Coertright [?; Cartwright?] 
-Birthplace: Orange Co., N.Y. 

Informant: Wm. Henry Hines 
            Drewryville, Va. 

Burial or Removal: Drewryville, Va., Nov. 28, 1912 
Undertaker: R. A. Famy[?], Drewryville, Va. 

Filed: Nov. 29, 1912 
Registrar: H.T. Grizzard 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Nov. 28, 1912 

I Hereby Certify, That I attended deceased from Nov. 27, 1926 to Nov. 28, 1912 
I last him alive on Nov. 27, 1912 
Death is said to have occurred, on date stated above, at 8 P.M. 

The Cause of Death was as follows: 
don't know 
Duration: 1 day 

Contributory (Secondary): 
don't know 

(Signed) 
J.A. Grizzard, M.D., Drewryville, Va. 
Nov. 28, 1912 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 12273 


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

file size: 3 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/h520l1dc.txt