Death Certificate of SAM CUTCHINS

SAM CUTCHINS, 54, died on 13 Apr 1950 in Franklin, Virginia from
coronary thrombosis due to hypertensive cardiovascular disease. A
resident of Franklin, Virginia, he was married to Mary Elizabeth Lowe
and was buried on 15 Apr 1950 at Poplar Spring, Franklin, Virginia.

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Mr. Cutchins was a white male merchant in the retail grocery business
born on 15 Nov 1895 in Southampton County, Virginia, son of Joseph
Cutchins and Anna Bradshaw. His death was not due to accident, suicide,
or homicide, and no autopsy was performed.

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|-----------------------------------------------------|----------------------------------------------------|
| Field                                               | Value                                              |
|-----------------------------------------------------|----------------------------------------------------|
| a. COUNTY                                           | Southampton                                        |
| b. CITY                                             | Franklin                                           |
| c. IN OR OUTSIDE CITY LIMITS                        | Outside                                            |
| d. HOSPITAL OR INSTITUTION                          | -                                                  |
| e. LENGTH OF STAY                                   | -                                                  |
| a. STATE                                            | Virginia                                           |
| b. COUNTY                                           | Southampton                                        |
| c. CITY OR TOWN                                     | Franklin, Virginia                                 |
| d. IN OR OUTSIDE CITY LIMITS                        | Outside                                            |
| e. ADDRESS                                          | -                                                  |
| 1. NAME OF DECEASED                                 | SAM CUTCHINS                                       |
| 5. SEX                                              | Male                                               |
| 6. COLOR OR RACE                                    | White                                              |
| 7. MARRIED, NEVER MARRIED, WIDOWED, DIVORCED        | Married                                            |
| 8. DATE OF BIRTH                                    | November 15, 1895                                  |
| 9. AGE                                              | 54                                                 |
| 10. USUAL OCCUPATION                                | Merchant                                           |
| 11. KIND OF BUSINESS OR INDUSTRY                    | Retail Grocery                                     |
| 12. CITIZEN OF WHAT COUNTRY                         | U.S.A.                                             |
| 13. FATHER'S NAME                                   | Joseph Cutchins                                    |
| 14. MOTHER'S MAIDEN NAME                            | Anna Bradshaw                                      |
| 15. NAME OF HUSBAND OR WIFE OF DECEASED             | Mary Elizabeth Lowe                                |
| 17. INFORMANT'S SIGNATURE                           | -                                                  |
| DATE OF DEATH (Month)                               | April                                              |
| DATE OF DEATH (Day)                                 | 13                                                 |
| DATE OF DEATH (Year)                                | 1950                                               |
| 18a. DISEASE OR CONDITION DIRECTLY LEADING TO DEATH | Coronary Thrombosis                                |
| 18b. DUE TO                                         | Hypertensive cardiovascular disease                |
| INTERVAL BETWEEN ONSET AND DEATH                    | 7 yrs.                                             |
| 18c. DUE TO                                         | 4201                                               |
| 19. OTHER SIGNIFICANT CONDITIONS                    | -                                                  |
| 20. AUTOPSY?                                        | No                                                 |
| 21a. ACCIDENT, SUICIDE, HOMICIDE                    | -                                                  |
| 21b. PLACE OF INJURY                                | -                                                  |
| 21c.                                                | -                                                  |
| 21d. INJURY OCCURRED                                | -                                                  |
| 21e. HOW DID INJURY OCCUR?                          | -                                                  |
| Date of operation                                   | -                                                  |
| Date of major findings of operation                 | -                                                  |
| 22. ATTENDANCE CERTIFICATION                        | August 13, 1940 to April 13, 1950, last saw April  |
|--                                                   | 12, 1950, death at 10:30 P.M. from causes and date |
|--                                                   | stated above                                       |
| 23a. SIGNATURE                                      | T A Morgan M.D.                                    |
| 23b. ADDRESS                                        | Franklin, Virginia                                 |
| 23c. DATE SIGNED                                    | April 18, 1950                                     |
| 24a. BURIAL, CREMATION, REMOVAL                     | Burial                                             |
| 24b. DATE                                           | April 15, 1950                                     |
| 24c. NAME OF CEMETERY OR CREMATORY                  | Poplar Spring                                      |
| 24d. LOCATION                                       | Franklin, Virginia                                 |
| 25. FUNERAL DIRECTOR'S SIGNATURE                    | W. J. M. Holland & Sons Inc                        |
| ADDRESS                                             | Franklin, Virginia                                 |
| DATE RECD BY LOCAL REGISTRAR                        | April 17, 1950                                     |
| REGISTRAR'S SIGNATURE                               | J O Cook                                           |
| DISTRICT NO.                                        | 874                                                |
| REGISTER NO.                                        | 32                                                 |
| STATE FILE NO.                                      | 10111                                              |
|-----------------------------------------------------|----------------------------------------------------|

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