Southampton County Virginia USGenWeb Archives Vitals.....Johnson, James W., 1919 

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James Wesley JOHNSON, 9 Sep 1918 - 14 Aug 1919, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 481, No. 22283 
Commonwealth of Virginia 
Bureau of Vital Statistics {BVS} 
State Board of Health 
Form No. 12. 

Place Of Death: Southampton Co.; Boykins District 
Registration District No. 871 
Registered No. 5 

Full Name: James Wesley Johnson 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: male 
Color or Race: white 
Marital Status: child 

Date of Birth: [check mark] 
Age: 11 months, 5 days 

Occupation: [check mark] 

Birthplace: Va. 

Father: 
-Name: J. Ben Johnson* 
-Birthplace: Va. 

Mother: 
-Maiden Name: Sally C. Morris* 
-Birthplace: Va. 

Informant: Joe Ben Johnson* 
             Boykins, Va. 

Burial or Removal: Boykins, Va.*, 8/16, 1926 
Undertaker: O.W. Gray & Bro 
               Boykins, Va. 

Filed: Aug 14, 1919 
Registrar: Mrs. W.D. Mannes 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Aug. 14, 1919 

I Hereby Certify, 
That I attended deceased from Aug. 10, 1919 to Aug. 14, 1919 
I last him alive on Aug. 13, 1919 
And that Death occurred, on date stated above, at 1 P.M. 

The Cause of Death was as follows: 
   Whooping Cough 
Duration: [blank] 

Contributory (Secondary): Cholera Infantum 

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

Did an operation precede death? no 

Was there an autopsy? no 

What test confirmed diagnosis? [check mark] 

(Signed)  J.M. Bland, M.D. 
Aug 15, 1919     Boykins, Va. 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1919-481-22283 


Unmarked; added to his parents' plot - Annex 2, Plot 208 - 
   Beechwood Cemetery, Boykins. 
   Southampton County Historical Society {SCHS} Cemetery Project, 
   Beechwood list: 
   http://files.usgwarchives.net/va/southampton/cemeteries/beechwd.txt 


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/j525j1dc.txt