Southampton County Virginia USGenWeb Archives Vitals.....Pinner, Elizabeth, 1921 

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Elizabeth PINNER, 
     8 Dec 1921 - 23 Dec 1921, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 28007 
Commonwealth of Virginia 
Bureau of Vital Statistics {BVS} 
State Board of Health 
Form No. 12. 

Place Of Death: County of Southampton Co. 
                Magisterial District of Franklin 
Registration District No. 874 
Registered No. 56 [?; # struck and rewritten] 

Full Name: Elizabeth Pinner      See Darce Pinner 
                                    for birth 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Marital Status: [blank] 
Date of Birth: Dec. 8 - 1921 
Age: 21 days [does not compute; 15 days] 

Occupation: [blank] 

Birthplace: Southampton Co., Va 

Father: 
-Name: Leon Pinner 
-Birthplace: Virginia 

Mother: 
-Maiden Name: Jeanette Coggsdale 
-Birthplace: Virginia 

Informant: J.W. Coggsdale* 
           RFD #2 Franklin, Va 

Burial or Removal: Ceamore Church[sic*], Dec. 24, 1921 
Undertaker: W.J.M. Holland & Son 
           Franklin  Va 

Filed: Jany. 6, 1922 
Registrar: C.C. Vaughan 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Dec 23, 1921 

I Hereby Certify, 
That I attended deceased from 
[blank] to [blank] 
I last h__ alive on [blank] 
and that death occurred, on date stated above, at _____ _.M. 

The Cause of Death was as follows: 
      - No Doctor - 
           (over) 
Duration: [blank] 

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)  [blank], M.D. 
[not dated]   [blank] 
______________________________________________________________________________ 



The Library of Virginia 
Bureau Of Vital Statistics, Death Certificate 1921-28007 

*Additional information: 

Unmarked; added to Sycamore Baptist Church Cemetery list- Row 1, Plot 7. 
   Southampton County Historical Society {SCHS} Cemetery Project, 
   Miscellaneous Cemeteries, Vol. 4 (IV-30): 
   http://files.usgwarchives.net/va/southampton/cemeteries/miscvol4.txt 

The informant is likely identical with James Washington COGGSDALE (1880-1935), 
   also unmarked & added to the same plot, with his brother John.  An abstract 
   of James' death certificate (1935-1418-2647) is posted at: 
   http://files.usgwarchives.net/va/southampton/vitals/deaths/c234j1dc.txt 



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

file size: 3 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/p560e1dc.txt