Southampton County Virginia USGenWeb Archives Vitals.....Smith, Zachariah T., 1919 

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Zachariah Taylor SMITH, Mar 1843* - 4 Aug 1919, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 481, No. 22288 
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. 31 

Full Name: Z.T. Smith 
______________________________________________________________________________ 

Personal and Statistical Particulars 

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

Date of Birth: [blank*] 
Age: 76 years 

Occupation: nothing 

Birthplace: NC 

Father: 
-Name: Dont Know 
-Birthplace: Dont Know 

Mother: 
-Maiden Name: Dont Know 
-Birthplace: Dont Know 

Informant: Geo. W. Smith 
             Capron, Va. 

Burial or Removal: Boykins, Va.*, 8/5, 1919 
Undertaker: O.W. Gray & Bro 
               Boykins, Va. 

Filed: Aug 13, 1919 
Registrar: G.W. Burgess 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Aug. 4, 1919 

I Hereby Certify, 
That I attended deceased from June, 1919 to Aug. 5, 1919 
I last him alive on Aug. 4, 1919 
And that Death occurred, on date stated above, at 11 P.M. 

The Cause of Death was as follows: 
   Mitral regurgitation 
     with failure of 
   Compensation 
Duration: [blank] 

Contributory (Secondary): [blank] 

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? none 

(Signed)  J.M. Bland, M.D. 
Aug 5, 1919     Boykins, Va. 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1919-481-22288 

*Additional information: 

Interred in Beechwood Cemetery, Boykins - Annex 1, Section F, Plot 12. 
   Southampton County Historical Society {SCHS} Cemetery Project, 
   Beechwood list: 
   http://files.usgwarchives.net/va/southampton/cemeteries/beechwd.txt 

Birthdate from cemetery list, citing 1900 Census. 

His birthplace, parents & widow are given in his marriage record: 

Zac.T. Smith, 21, Single, b. NC, res. Southampton Co., 
   sn/o Martin Smith & Basha Westbrook, Farmer 
Mary J. Felts, 21, Single, b. & res. Southampton Co., 
   dt/o Lewis & Rebecca Felts 
m.lic. 6 Feb 1867, by clerk L.R. Edwards 
m. 7 Feb 1867, Southampton, by P.W. Archer 
(Southampton Co. MB1A:178; M.Reg. 1853-72, p. 20 #23) 

His widow's obit ("Tidewater News," Apr. 20, 1934) is posted at: 
   http://files.usgwarchives.net/va/southampton/obits/s530m2ob.txt 

His obit ("Tidewater News," Aug. 8, 1919) is posted at: 
   http://files.usgwarchives.net/va/southampton/obits/s530z1ob.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/s530z1dc.txt