Southampton-Nansemond County Virginia USGenWeb Archives Vitals.....Tomlin, Nannie B., 1912 

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Nannie Bell TOMLIN, Jan 1912 - 4 Nov 1912, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 12294 ["14773" struck]  
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.; Franklin District 
Registration District No. 874 
Registered No. 71 

Full Name: Nannie Bell Tomlin 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Femal [sic] 
Color or Race: white 
Marital Status: single 

Date of Birth: Jany 1912 
Age: 10 mos. 

Occupation: none 

Birthplace: Nansemond 

Father: 
-Name: J.A. Tomlin [altered, possibly from "Daughtrey"] 
-Birthplace: Isle of Wight 

Mother: 
-Maiden Name: Glover 
-Birthplace: Southampton Co. 

Informant: J.A. Tomlin 
            Franklin, Va. 

Burial or Removal: Nansemond Co., Nov. 5, 1912 
Undertaker: W.J.M. Holland 
             Franklin, Va. 

Filed: 11/5, 1912 
Registrar: C.C. Vaughan 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Nov. 4, 1912 

I Hereby Certify, 
That I attended deceased from Nov. 2, 1912 to Nov. 4, 1912 
I last her alive on Nov. 4, 1912 
Death is said to have occurred, on date stated above, at 10:30 _.M. 

The Cause of Death was as follows: 
Chill & Convulsions 
[Health Dept. code] 4 
Duration: 3 ds. 

Contributory (Secondary): 
[blank] 

(Signed) 
Ashley P. Cutchin, M.D., Franklin, Va. 
11/5, 1912 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 12294 


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/t545n1dc.txt