Death Certificate of Darden, Nancy Rose

Nancy Rose Darden, age 6, died on 10 Nov 1958 in Ahoskie, Hertford
County, North Carolina, at Roanoke-Chowan Hospital. Cause of death was
severe mucoviscidosis associated with chronic pulmonary fibrosis
infection. She was born 14 Dec 1951 in Virginia to J. Ashley Darden and
Jane Edwards. She resided in Newsoms, Southampton County, Virginia, and
was never married.

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| Field                                                               | Value                                                         |
|---------------------------------------------------------------------|---------------------------------------------------------------|
| REGISTRATION DISTRICT NO.                                           | 45                                                            |
| REGISTRATION CERTIFICATE NO.                                        | 46-60                                                         |
| DATE                                                                | DEC 8 1958                                                    |
| CERTIFICATE OF DEATH                                                | 30375                                                         |
| 1. COUNTY                                                           | Hertford                                                      |
| 1b. TOWN                                                            | Ahoskie                                                       |
| 1c. LENGTH OF STAY (IN THIS PLACE)                                  | 2 days                                                        |
| 1d. FULL NAME OF HOSPITAL OR INSTITUTION                            | Roanoke-Chowan Hospital                                       |
| 2. STATE                                                            | Virginia                                                      |
| 2b. COUNTY                                                          | Southampton                                                   |
| 2c. CITY                                                            | Newsoms                                                       |
| 2d. ADDRESS                                                         | R.F.D. 1                                                      |
| 3. NAME OF DECEASED                                                 | Nancy Rose Darden                                             |
| 4. SEX                                                              | Female                                                        |
| 5. COLOR OR RACE                                                    | White                                                         |
| 6. MARITAL STATUS                                                   | Married                                                       |
| 7. DATE OF BIRTH                                                    | 12/14/1951                                                    |
| 8. AGE (Years last birthday)                                        | 6                                                             |
| 9. USUAL OCCUPATION                                                 | NONE                                                          |
| 10. KIND OF BUSINESS OR INDUSTRY                                    | NONE                                                          |
| 11. BIRTHPLACE (State or foreign country)                           | Virginia                                                      |
| 12. CITIZEN OF WHAT COUNTRY                                         | USA                                                           |
| 13. FATHER'S NAME                                                   | J. Ashley Darden                                              |
| 14. MOTHER'S MAIDEN NAME                                            | Jane Edwards                                                  |
| 15. NAME OF HUSBAND OR WIFE                                         | NONE                                                          |
| 16. WAS DECEASED EVER IN U.S. ARMED FORCES?                         | NONE                                                          |
| 17. SOCIAL SECURITY NO.                                             | NONE                                                          |
| 18. INFORMANT'S NAME AND ADDRESS                                    | J. Ashley Darden, Newsoms, Virginia                           |
| 19. PART I. DEATH WAS CAUSED BY - IMMEDIATE CAUSE (A)               | Mucoviscidosis severe                                         |
| 19. PART I. DEATH WAS CAUSED BY - INTERVAL BETWEEN ONSET AND DEATH  | 5 1/2 years                                                   |
| 19. PART I. DEATH WAS CAUSED BY - DUE TO (B)                        | associated with chronic pulmonary fibrosis infection.         |
| 20. PART II. OTHER SIGNIFICANT CONDITIONS                           | (none listed)                                                 |
| 21. ACCIDENT SUICIDE HOMICIDE                                       | (none checked)                                                |
| 26b. PLACE OF INJURY (if any)                                       | (blank)                                                       |
| 26c. CITY OR TOWNSHIP                                               | (blank)                                                       |
| 26c. COUNTY                                                         | (blank)                                                       |
| 26c. STATE                                                          | (blank)                                                       |
| 22. TIME OF DEATH                                                   | 1:10 A.M.                                                     |
| 23. DATE OF DEATH                                                   | 11/10/1958                                                    |
| 24. SIGNATURE AND ADDRESS OF PERSON CERTIFYING DEATH                | (Signature present, address: Ahoskie, N.C.)                   |
| 25. DATE SIGNED                                                     | 11/13/58                                                      |
| 26a. BURIAL, CREMATION, OR REMOVAL (Specify)                        | Burial                                                        |
| 26a. DATE                                                           | 11/11/1958                                                    |
| 26a. NAME OF CEMETERY OR CREMATORY                                  | Newsoms Cemetery                                              |
| 26a. LOCATION (City, town, or county)                               | Newsoms, Virginia                                             |
| 27. SIGNATURE AND ADDRESS OF FUNERAL DIRECTOR                       | (Signature present, J.M. Holland & Sons, Inc., Franklin, Va.) |
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