Southampton-Isle of Wight County Virginia USGenWeb Archives Vitals.....Johnson, Frank S., 1926 

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Frank Sidney JOHNSON, 1865 - 13 Apr 1926, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 863, No. 10928 
Commonwealth of Virginia 
Bureau of Vital Statistics {BVS} 
State Board of Health 
Form No. 12. 

Place Of Death: Southampton Co.; Jerusalem District; Inc. Town of Burdette 
Registration District No. 873-C 
Registered No. 3 

Full Name: Frank Sydney Johnson 
             Burdette, Va. 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Male 
Color or Race: White 
Marital Status: Widowed 
Spouse: [blank] 

Date of Birth: 1965 [sic; 1865] 
Age: 61 years 

Occupation: Farmer 

Birthplace: Burdette, Va. 

Father: 
-Name: Joseph Johnson* 
-Birthplace: Southampton Co 

Mother: 
-Maiden Name: Miss Mary Charles [inserted above inkblot*] 
-Birthplace: Southampton Co 

Informant: John Johnson* 
          Franklin, Va.  RFD no 1 

Burial or Removal: Mt. Carmel Church*, 4/15/26 
Undertaker: W.J.M. Holland & son 
               Franklin, Va. 

Filed: 4/19/26 
Registrar: C.T. Stephenson 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Apr 13, 1926 

I Hereby Certify, 
That I attended deceased from Apr 12, 1926 to Apr 13, 1926 
I last him alive on Apr 13, 1926 
And that Death occurred, on date stated above, at 3:40 P.M. 

The Cause of Death was as follows: 
   Influenza & 
   Congestion of Lungs [Health dept. code 11-B] 
Duration: 2 ds. 

Contributory (Secondary): [blank] 

Where was disease contracted if not at place of death? [blank] 

Did an operation precede death? [blank] 

Was there an autopsy? [blank] 

What test confirmed diagnosis? [blank] 

(Signed)  Ashley Cutchins 
4/14, 1926     Franklin, Va. 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1926-863-10928 


*Mt. Carmel Christian Church Cemetery, Walters.  Apparently unmarked- 
   Does not appear on the Mt. Carmel list, of the Isle of Wight County 
   Historical Society {IWCHS} Grave Site Survey Task Force: 
   http://www.iwchs.com/Documents/Mt%20Carmel%20Church_Walters%20Hwy_Cemetery.doc 

Added to the SCHS Mount Carmel list - an extension of the Southampton County 
   Historical Society Cemetery Project: 
   http://files.usgwarchives.net/va/isleofwight/cemeteries/mtcarmel.txt 

His marriage record - 

Frank S. Johnson, 23, single, b. & res. Southampton Co., 
   sn/o Joseph & [blank] Johnson, Farmer 
Maggie E. Johnson, 25, s, single, b. & res. Southampton Co., 
   dt/o R.T. & Fannie Johnson 
m.lic. 15 Dec 1884, by clerk J.B. Prince 
m. 18 Dec 1884, So.ampton - "My Residence" by M.B. Barrett 
(Southampton Co. MB5:354) 

Contributed for use in USGenWeb Archives by: 
Matt Harris, zoobug64@aol.com (Jul 2013) [brackets mine] 

file size: 4 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/j525f1dc.txt