Southampton County Virginia USGenWeb Archives Vitals.....Harrell, Mary Goodwyn, 1912 

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Mary GOODWYN WILLIAMS HARRELL, 6 Sep 1854 - 28 Nov 1912, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 12278 [altered]  
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.; Boykins District; Inc. Town of Branchville 
Primary Registration District No. 871st; 
Registered No. 10 [given in Street No. space] 

Full Name: Mary Williams Harrell 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Married 

Date of Birth: Sept. 6, 1854 
Age: 58 yrs, 2 mos, 22 ds. 

Occupation: House keeper 

Birthplace: Northampton Co., N.C. 

Father: 
-Name: B.W. Goodwyn 
-Birthplace: Southampton Co., Va. 

Mother 
-Maiden Name: E.A. Branch 
-Birthplace: Northampton Co., N.C. 

Informant: W.B. Goodwyn 
            Branchville, Va. 

Burial or Removal: Branchville, Va., Nov. 12, 1912 
Undertaker: Harris Darden Co., Branchville, Va. 

Filed: [undated] 
Registrar: E.R. Bryant 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: November 28th, 1912 

I Hereby Certify, That I attended deceased from Nov. 24, 1912 to Nov. 28, 1912 
I last him alive on Nov. 28th, 1912 
Death is said to have occurred, on date stated above, at 9 A.M. 

The Cause of Death was as follows: 
Congestion of the brain
Duration: 4 ds. 

Contributory (Secondary): 
[blank] 

(Signed) 
Jno.W. Smith, M.D., Branchville, Va. 
[undated] 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 12278 


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/h640m1dc.txt