Death Certificate of Carr, Solomon

Solomon Carr, son of John Carr and Nancy Butler, was born on 8 Sep 1846
in Virginia. He died on 9 Feb 1917 in Isle of Wight County, Windsor,
Virginia.

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| ID | Section                              | Field Description                     | Value               |
|----|--------------------------------------|---------------------------------------|---------------------|
| 1  | PLACE OF DEATH                       | County                                | Isle of Wight       |
| 2  | PLACE OF DEATH                       | District of                           | Windsor             |
| 3  | FULL NAME                                                                    | Solomon Carr        |
| 4  | PERSONAL AND STATISTICAL PARTICULARS | Sex                                   | Male                |
| 5  | PERSONAL AND STATISTICAL PARTICULARS | Color or Race                         | White               |
| 6  | PERSONAL AND STATISTICAL PARTICULARS | Single, Married, Widowed, or Divorced | Single              |
| 7  | PERSONAL AND STATISTICAL PARTICULARS | Date of Birth                         | September 8, 1846   |
| 8  | PERSONAL AND STATISTICAL PARTICULARS | Age                                   | 70 yrs 5 mos 1 ds   |
| 9  | PERSONAL AND STATISTICAL PARTICULARS | Occupation                            | Farmer              |
| 10 | PERSONAL AND STATISTICAL PARTICULARS | Birthplace                            | Virginia            |
| 11 | PARENTS                              | Name of Father                        | John Carr           |
| 12 | PARENTS                              | Birthplace of Father                  | Virginia            |
| 13 | PARENTS                              | Maiden Name of Mother                 | Nancy Butler        |
| 14 | PARENTS                              | Birthplace of Mother                  | Virginia            |
| 15 | PERSONAL AND STATISTICAL PARTICULARS | Informant                             | Mary E. Johnson     |
| 16 | PERSONAL AND STATISTICAL PARTICULARS | Address                               | Virginia            |
| 17 | PERSONAL AND STATISTICAL PARTICULARS | Filed                                 | Feb 10, 1917        |
| 18 | MEDICAL CERTIFICATE OF DEATH         | Date of Death                         | Feb 9, 1917         |
| 19 | MEDICAL CERTIFICATE OF DEATH         | Last saw alive                        | Feb 7, 1917         |
| 20 | MEDICAL CERTIFICATE OF DEATH         | Time of Death                         | 4 A.M.              |
| 21 | MEDICAL CERTIFICATE OF DEATH         | Cause of Death                        | La Grippe           |
| 22 | MEDICAL CERTIFICATE OF DEATH         | Duration                              | 10 ds.              |
| 23 | MEDICAL CERTIFICATE OF DEATH         | Contributory (Secondary)              | [Blank]             |
| 24 | MEDICAL CERTIFICATE OF DEATH         | Signed                                | T.J. Matthews, M.D. |
| 25 | MEDICAL CERTIFICATE OF DEATH         | Date Signed                           | Feb 10, 1917        |
| 26 | MEDICAL CERTIFICATE OF DEATH         | Address of Physician                  | Walters, Va         |
| 27 | MEDICAL CERTIFICATE OF DEATH         | Place of Burial or Removal            | Burdette Church     |
| 28 | MEDICAL CERTIFICATE OF DEATH         | Date of Burial                        | Feb 11, 1917        |
| 29 | MEDICAL CERTIFICATE OF DEATH         | Undertaker                            | W.J. H. Hollamd     |
| 30 | MEDICAL CERTIFICATE OF DEATH         | Undertaker Address                    | Handsom, Va         |
| 31 | PERSONAL AND STATISTICAL PARTICULARS | Local Registrar                       | Chas. L. Moore      |
| 32 | PERSONAL AND STATISTICAL PARTICULARS | Date Registered                       | Feb 10, 1917        |
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