Death Certificate of Sarah Anne Cones

Sarah Anne Cones died from cirrhosis of the liver due to chronic
myocarditis and arteriosclerosis on 28 Aug 1941 at Norfolk City Welfare
Center Municipal Hospital, Princess Anne County, Virginia, at age 85.
Her residence was Carrsville, Isle of Wight County, Virginia. She was
born in Isle of Wight County to James Cones and Nancy Spivey. She was
single and had no spouse.

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| Field                                               | Value                                  |
|-----------------------------------------------------|----------------------------------------|
| State File No.                                      | 20491                                  |
| Registered No.                                      | 224                                    |
| 1. County                                           | Princess Anne                          |
| Registration Dist. No.                              | 3760                                   |
| (a) Magisterial district                            | Kempsville                             |
| (b) City or town                                    | (blank)                                |
| (c) Norfolk City Welfare Center Municipal Hospital  |                                        |
| Length of stay in hosp. or inst.                    | 3 1/2 mos.                             |
| Is place of death within corporate limits?          | (blank)                                |
| 2.(a) State                                         | Virginia                               |
| 2.(b) County                                        | Isle Of Wight                          |
| 2.(c) City or town                                  | Carrsville                             |
| 2.(d) Street No.                                    | (blank)                                |
| 2.(e) Within corporate limits??                     | (blank)                                |
| 2.(f) If foreign birth, how long in U.S.A.?         | 0460 Years                             |
| 3. FULL NAME                                        | SARAH ANNE CONES                       |
| 4. Sex                                              | Female                                 |
| 5. Color or race                                    | White                                  |
| 6. Single, married, widowed, divorced               | Single                                 |
| 7. Name of husband or wife                          | (Blank)                                |
| 8. Date of birth of deceased                        | Unknown                                |
| 9. Age                                              | 85 Years                               |
| 10. Usual occupation                                | Housework                              |
| 12. Name (Father)                                   | James Cones                            |
| 13. Birthplace (Father)                             | Isle of Wight Co., Virginia            |
| 15. Maiden name (Mother)                            | Nancy Spivey                           |
| 16. Birthplace (Mother)                             | Isle of Wight Co., Virginia            |
| 6. Informant's own signature                        | Mrs. Emma Harcum                       |
| Address                                             | 2810 Church St., Norfolk, Va.          |
| 20. Date of death                                   | August 28, 1941 — 12:30 AM             |
| 21. I hereby certify                                | May 19, 1941 to Aug. 28, 1941.         |
| 21. Last saw her alive                              | Aug. 27, 1941.                         |
| Immediate cause of death                            | Cirrhosis of Liver                     |
| Due to                                              | Myocarditis, chronic Arteriosclerosis  |
| Other conditions                                    | (blank)                                |
| Major findings (a) of operations                    | 124B                                   |
| Physician                                           | W. F. Dunk                             |
| Physician Address                                   | Hospital                               |
| Date signed                                         | 8-28-41                                |
| Funeral director                                    | J. M. HOLLAND & SONS                   |
| Funeral director Address                            | FRANKLIN, VA.                          |
| Place of burial or removal                          | To Franklin, VA.                       |
| Date of burial                                      | August 28, 1941                        |
| 26. Filed (Aug. 28/41), by                          | W. R. HAINSWORTH                       |
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Blank lines indicate fields present on the form but left unfilled. Field prefixes and numbers are shown exactly as on the original document.