Death Certificate of Darden, Willis E


Willis E. Darden, age 12, born 19 Nov 1904 in Isle of Wight Co., VA to William W. Darden and Martha C. Parker, died single on 16 Aug 1917 in Suffolk, Nansemond Co., VA. Cause of death was epileptic convulsions and heart failure. Residence was Nansemond, VA, R.F.D. 2.

  
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| Field                         | Value                  |
|-------------------------------|------------------------|
| Form No.                      | 12                     |
| File No.                      | 20349                  |
| Registration District No.     | 2610                   |
| Registered No.                | 243                    |
| County of Death               | Nansemond              |
| City of Death                 | Suffolk                |
| Full Name                     | Willis E. Darden       |
| Sex                           | Female                 |
| Color or Race                 | White                  |
| Marital Status                | Single                 |
| Date of Birth                 | 19 Nov 1904            |
| Age                           | 12                     |
| Occupation                    | None                   |
| Birthplace                    | Isle of Wight Co., VA  |
| Name of Father                | William W. Darden      |
| Birthplace of Father          | Isle of Wight Co., VA  |
| Maiden Name of Mother         | Martha C. Parker       |
| Birthplace of Mother          | Isle of Wight Co., VA  |
| Informant                     | William W. Darden      |
| Informant Address             | Carrsville, Va, RFD    |
| Date Filed                    | 6 Aug 1917             |
| Registrar                     | E. F. Norfleet         |
| Date of Death                 | 16 Aug 1917            |
| Attended From                 | 15 Aug 1917            |
| Attended To                   | 16 Aug 1917            |
| Time of Death                 | 4 A.M.                 |
| Cause of Death (Primary)      | Epileptic convulsions  |
| Cause of Death (Contributory) | Heart failure          |
| Duration of Primary Cause     | 7 years                |
| Physician                     | W. H. Williams, M.D.   |
| Physician Address             | Suffolk, VA            |
| Date Physician Signed         | 16 Aug 1917            |
| Place of Burial or Removal    | Isle of Wight Co.      |
| Date of Burial                | 17 Aug 1917            |
| Undertaker                    | R. E. Baker            |
| Undertaker Address            | Suffolk, VA            |
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