Southampton-Nansemond County Virginia USGenWeb Archives Vitals.....Hines, Ralph T. Jr., 1937 

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Ralph Thomas HINES, Jr., 2 Apr 1936 - 15 Jan 1937, death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 1560, No. 2420 
Commonwealth of Virginia 
Department of Health 
Bureau of Vital Statistics {BVS} 

Place Of Death: Southampton Co.; 
Inc. Town of Franklin 
Registration District No. 2874; Registered No. 4 

Full Name: ["Little" struck] Ralph Thomas Hines Jr. 
                Franklin, Va. 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: white 
child _ 

Date of Birth: April 2, 1936 

Age: 10 Months 

Birthplace: Suffolk, Va 

Father: 
-Name: Ralph Thomas Hines, Sr. 
-Birthplace: Suffolk, Va 

Mother 
-Maiden Name: Miss Elizabeth W. Kuisan[?] 
-Birthplace: Suffolk, Va 

Informant: Mr. Ralph Thomas Hines Sr. 
            Franklin, Va 

Burial, Cremation, or Removal: Cedar Hill Cemetery*, 1-17, 1937 
Undertaker: I.O. Hill & Co 
               Suffolk, Va. 

Filed: Jan. 15, 1937 
Registrar: Mrs. Lloyd A. Darden 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Jan. 15, 1937 

I Hereby Certify, That I attended deceased from 1-13-37 to 1-15-37 
I last him alive on 1-15-37 
Death is said to have occurred, on date stated above, at 7 A.M. 

The Principal Cause of Death was as follows: 
Congenital Heart Disease   Date of onset: Birth 
[Health Dept. code] 157c 

Contributory (Secondary): 
[illeg.] of Middle Ears    Date of onset: 1-12-37 
   (Following Cold) 

Name of operation: Opened Ears   Date of 1-13-37 
What test confirmed diagnosis? Symp. [Symptoms] 
Was there an autopsy? no 

Was disease or injury in any way related to occupation of deceased? no 

(Signed)  R.L. Raiford, M.D. 
             Franklin, Va. 
______________________________________________________________________________ 


Additional information: 
*He was not found on the original list for Cedar Hill Cemetery, Suffolk, 
 compiled by the Southampton County Historical Society Cemetery Project. 
 Possibly unmarked, or moved. 


The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1937 1560-2420 

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/h520r1dc.txt