Death Certificate of Martha Holland Harrison

Martha Holland Harrison, 73, died on 6 Mar 1936 in Southampton from
renal insufficiency due to 1933. A resident of Berlin-Ivor, she was
married to Asbury Harrison and was buried on 8 Mar 1936 at near Zuni,
Va.

Mrs. Harrison was a white female, born 3 Oct 1863 in Virginia to Richard
Holland and Sarah Cooke. She worked as a housewife for 50 years. The
informant was M. J. Harrison of Zuni, Va. Burial took place near
Zuni, Va.; undertaker was W.J.M. Holland, Franklin, Va.

|-----------------------------------------------------------------|------------------------------------|
| Field                                                           | Value                              |
|-----------------------------------------------------------------|------------------------------------|
| 1.                                                              | Southampton, Berlin-Ivor           |
| Registration District No.                                       | 675                                |
| Registered No.                                                  | 16                                 |
| 14269                                                           | -                                  |
| 2. FULL NAME                                                    | Martha Holland Harrison            |
| 3. SEX                                                          | F                                  |
| 4. COLOR OR RACE                                                | White                              |
| 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED                        | Widow                              |
| 5a. HUSBAND OFWIFE OF                                           | Asbury Harrison                    |
| 5b. WIDOWED                                                     | Yes                                |
| 6. DATE OF BIRTH                                                | March 3 1843                       |
| 7. AGE                                                          | 73 Years 5 Mos 3 Ds                |
| 8. TRADE, PROFESSION, ETC?                                      | Housewife                          |
| 9. INDUSTRY OR BUSINESS?                                        | Own Home                           |
| 10. LAST WORKED:                                                | None                               |
| 11. TIME IN OCCUPATION?                                         | 50                                 |
| 12. BIRTHPLACE                                                  | Virginia                           |
| 12a.                                                            | Va.                                |
| 13. NAME OF FATHER                                              | Richard Holland                    |
| 14. BIRTHPLACE                                                  | Va.                                |
| 15. MAIDEN NAME OF MOTHER                                       | Sarah Cooke                        |
| 16. BIRTHPLACE                                                  | Va.                                |
| 17. INFORMANT                                                   | G. T. Harrison, Zuni, Va.          |
| 18. BURIAL, CREMATION, OR REMOVAL                               | Burial - near Zuni, Va.            |
| DATE OF BURIAL                                                  | March 8, 1936                      |
| 19. UNDERTAKER                                                  | W.J.M. Holland, Frannklin, Va.     |
| 20. FILED                                                       | Thos. A. Pulley, Registrar         |
|--                                                               | May 11 1936                        |
| 21. DATE OF DEATH                                               | March 6, 1936                      |
| MEDICAL CERTIFICATE OF DEATH                                    | -                                  |
| I ATTENDED DECEASED FROM                                        | March 3, 1936 to March 5, 1936     |
| THAT I LAST SAW HER ALIVE ON                                    | March 6, 1936                      |
| AND THAT DEATH OCCURRED ON THE DATE STATED ABOVE AT             | 12:45 AM                           |
| PRINCIPAL CAUSE OF DEATH                                        | Renal Insufficiency                |
| DATE OF ONSET                                                   | March 3, 1936                      |
| CONTRIBUTORY CAUSE OF IMPORTANCE NOT RELATED TO PRINCIPAL CAUSE | 1933                               |
| 22. WAS AN AUTOPSY PERFORMED?                                   | -                                  |
| 23. DEATH DUE TO                                                | -                                  |
| Date                                                            | -                                  |
| Where did injury occur?                                         | -                                  |
| Industry, home, or public place?                                | -                                  |
| Manner of injury                                                | -                                  |
| Nature of injury                                                | -                                  |
| OCCUPATION RELATED??                                            | -                                  |
| 24. IF SO, SPECIFY                                              | -                                  |
| SIGNED                                                          | E.M. Beale, M.D.                   |
| Address                                                         | Ivor, Va.                          |
|-----------------------------------------------------------------|------------------------------------|

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