Southampton County Virginia USGenWeb Archives Vitals.....Worrell, Naomi J. Crumpler, 1923 

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Naomi Jane (CRUMPLER; Mrs. Lewis A.) WORRELL, 
     30 Sep 1881 - 23 Jan 1923, 
     death certificate abstract 

______________________________________________________________________________ 

Certificate of Death, Vol. 672, No. 2969 
Commonwealth of Virginia 
State Board of Health 
Bureau of Vital Statistics {BVS} 
Form No. 12. 

Place Of Death: County of Southampton; 
                Magisterial District of Newsoms 
Registration District No. 872 
Registered No. 2 

Full Name: Naomi J. Worrell 
______________________________________________________________________________ 

Personal and Statistical Particulars 

Sex: Female 
Color or Race: White 
Marital Status: married 
Spouse of: Lou A. Worrell* 

Date of Birth: not Know* 
Age: 40 years* 

Occupation: House wife [code 111] 

Birthplace: Southampton Co Va [code 46] 

Father: 
-Name: Isaac Crumpler 
-Birthplace:  Va [code 46] 

Mother: 
-Maiden Name: Caroline Bradshaw 
-Birthplace:  Va [code 46] 

Informant: L.A. Worrell [over erasure] 
            Newsoms  Va 

Burial or Removal: Newsoms*, 1-24, 1923 
Undertaker: W.J.M. Holland 
             Franklin  Va 

Filed: Jan 24, 1923 
Registrar: Solon L. Bryant 
______________________________________________________________________________ 

Medical Certificate of Death 
Date of Death: Jan 23, 1923 

I Hereby Certify, 
That I attended deceased from 
Jan. 17, 1923 to Jan. 23, 1923 
that I last her alive on Jan.. 22, 1923 
and that death occurred, on date stated above, at 6 a.m. 

The Cause of Death was as follows: 
    Pneumonia [code 31] 
Duration: [blank] 

Contributory (Secondary): Tuberculosis [code 101B] 
Duration: [blank] 

Where was disease contracted if not at place of death? home 

Did an operation precede death? no 

Was there an autopsy? no 

What test confirmed diagnosis? Clnic. [clinical] 


(Signed) J.M. Bland, M.D. 
1-24, 1923     Boykins  Va 
______________________________________________________________________________ 

The Library of Virginia, Richmond, VA 
Bureau Of Vital Statistics, Death Certificate 1923-672-2969 


*Additional information: 

Cemetery list gives b. 30 Sep 1881, so d. age 40. 
   Buried in Hollywood Cemetery, Newsoms. 
   Southampton County Historical Society {SCHS} Cemetery Project, 
   Hollywood list (N-78): 
   http://files.usgwarchives.net/va/southampton/cemeteries/hollywd.txt 

Her husband's name should read "Lew," not "Lou."  Their marriage record - 

LEWIS ARTHUR WORRELL, 30, S, SO.CO., SO.CO., FARMER, 
   S/O JAMES LITTLETON AND MARGARETTE ANN FERGUSON WORRELL 
M. 10-23-1907 BRIDE’S MOTHER’S, MONROE, SO.CO., VA. BY REV. E.S. PIERCE 
NAOMI JANE CRUMPLER, 26, S, SO.CO., SO.CO., 
   D/O ISAAC AND CAROLINE BRADSHAW CRUMPLER 
(Southampton Co. MB13:76; transcribed & annotated by Bruce Saunders: 
 http://files.usgwarchives.net/va/southampton/vitals/mb13pt.txt) 


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

file size: 5 Kb 

file at: 
http://files.usgwarchives.net/va/southampton/vitals/deaths/w640n1dc.txt