Death Certificate of Bradshaw, Edwin

# Narrative Summary

Edwin Bradshaw was born 26 Apr 1822 in Southampton County, Virginia to
Hezekiah Bradshaw and Letitia Simmons, both of Southampton County. He
was a retired farmer who died 3 Mar 1916 in Jerusalem, Southampton
County, Virginia at age 93 years, 10 months, 7 days. The cause of death
was Chronic Bright's disease with old age as a contributing factor. He
was buried 4 Mar 1916 at Roundtree, Sedley, Virginia.

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| ID   | Section                            | Field Description                        | Value                    |
|------|------------------------------------|------------------------------------------|--------------------------|
| 1    | Place of Death                     | County                                   | Southampton              |
| 2    | Place of Death                     | District or Inc. Town                    | Jerusalem                |
| 3    | Certificate Header                 | File No.                                 | 3188                     |
| 4    | Certificate Header                 | Registered No.                           | 5                        |
| 5    | Certificate Header                 | Registration District No.                                          |
| 6    | Certificate Header                 | Primary Registration District No.        | 973a                     |
| 7    | Full Name                          | Full Name                                | Edwin Bradshaw           |
| 8    | Personal and Statistical           | Sex                                      | Male                     |
| 9    | Personal and Statistical           | Color or Race                            | White                    |
| 10   | Personal and Statistical           | Single, Married, Widowed, Divorced       | Widowed                  |
| 11   | Personal and Statistical           | Date of Birth                            | April 26, 1822           |
| 12   | Personal and Statistical           | Age                                      | 93 yrs 10 mos 7 days     |
| 13   | Personal and Statistical           | Occupation                               | Retired Farmer           |
| 14   | Personal and Statistical           | Birthplace                               | Southampton Co.          |
| 15   | Parents                            | Name of Father                           | Hezekiah Bradshaw        |
| 16   | Parents                            | Birthplace of Father                     | Southampton Co.          |
| 17   | Parents                            | Maiden Name of Mother                    | Letitia Simmons          |
| 18   | Parents                            | Birthplace of Mother                     | Southampton Co.          |
| 19   | Informant                          | Name                                     | C. E. Bradshaw           |
| 20   | Informant                          | Address                                  | Sedley, Va. R.F.D. 4     |
| 21   | Filed                              | Date                                     | March 3, 1916            |
| 22   | Filed                              | Registrar                                | C. E. Bradshaw           |
| 23   | Medical Certificate of Death       | Date of Death                            | March 3, 1916            |
| 24   | Medical Certificate of Death       | Cause of Death                           | Chronic Bright's disease |
| 25   | Medical Certificate of Death       | Contributory (Secondary)                 | Old age                  |
| 26   | Medical Certificate of Death       | Duration (Primary)                       | 2 yrs                    |
| 27   | Medical Certificate of Death       | Physician's Signature                    | W. J. Jones, M.D.        |
| 28   | Place of Burial or Removal         | Place of Burial                          | Roundtree, Sedley, Va.   |
| 29   | Place of Burial or Removal         | Date of Burial                           | March 4, 1916            |
| 30   | Place of Burial or Removal         | Undertaker                               | W. D. Bryant             |
| 31   | Place of Burial or Removal         | Address of Undertaker                    | Sedley, Va.              |