Southampton County Virginia USGenWeb Archives Vitals.....Woodard, Jeff. D. Jr., 1912 

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Jeff Davis WOODARD, Jr., 20 Aug 1902 - 11 Nov 1912, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, No. 12277 ["14756" 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.; Boykins District 
Primary Registration District No. 871C; 
Registered No. 10 

Full Name: Jeff Davis Woodard Jr. 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Boy 
Color or Race: White 
Single 

Date of Birth: Aug. 20, 1902 
Age: 10 yrs, 2 mos, 21 ds. 

Occupation: [blank] 

Birthplace: Southampton Co. 

Father: 
-Name: Jeff. Davis Woodard 
-Birthplace: Southampton 

Mother 
-Maiden Name: Lucy Taylor 
-Birthplace: Greensville Co. 

Informant: D.C. Ricks 
            Branchville 

Burial or Removal: Branchville, Va., Nov. 12, 1912 
Undertaker: Harris Darden Co., Branchville, Va. 

Filed: Nov. 14, 1912 
Registrar: John G. Harris 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Nov. 11, 1912 

I Hereby Certify, That I attended deceased from Nov. 10, 1912 to Nov. 11, 1912 
I last him alive on Nov. 11, 1912 
Death is said to have occurred, on date stated above, at 5 A.M. 

The Cause of Death was as follows: 
Hemorrhagic Fever 
Duration: 2 ds. 

Contributory (Secondary): 
[blank] 

(Signed) 
Jno.W. Smith, M.D., Branchville, Va. 
Nov. 28, 1912 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 12277 


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/w363j1dc.txt