Death Certificate of Pauline Marion Hart

MRS. PAULINE MARION HART, 79, died on 14 Aug 1943 in Williamsburg from
Coronary Sclerosis due to Senile Psychosis. A resident of Boykins, she
was married to Walter McKendree Hart and was buried on 14 Aug 1943 at
Rosemont Cemetery, Boykins.

Mrs. Hart was born on 25 Dec 1863 in Seaboard, North Carolina, to Allen
E. Joyner and Virginia Barham, both originally from Southampton Co.,
Virginia. Her usual occupation was housewife. Her remains were handled
by H. M. Purviance.

|--------------------------------------------------|-----------------------------------|
| Field                                            | Value                             |
|--------------------------------------------------|-----------------------------------|
| State File No.                                   | 18053                             |
| Registered No.                                   | 140                               |
| 1.County                                         | James City                        |
| 1. Registered No.                                | 12970                             |
| 1.Magisterial district                           | Williamsburg                      |
| 1.City or town                                   | Williamsburg                      |
| 1.Name of hospital or institution                | Eastern State Hospital            |
| 1.Length of stay in hosp. or inst.               | 1 yr. 10 days                     |
| 1.Is place of death within corporate limits?     | Yes                               |
| 2.State                                          | Virginia                          |
| 2.County                                         | Southampton                       |
| 2.City or town                                   | Boykins                           |
| 2.Is place of residence within corporate limits? | No                                |
| 2.Citizen of foreign country?                    | No                                |
| 3. FULL NAME                                     | MRS. PAULINE MARION HART          |
| 4. Sex                                           | Female                            |
| 5. Color or race                                 | White                             |
| 6.Single, married, widowed, divorced             | Widowed                           |
| 6.Name of husband or wife                        | Walter McKendree Hart             |
| 7. Date of birth of deceased                     | December 25, 1863                 |
| 8. Years                                         | 79                                |
| 8. Months                                        | 7                                 |
| 8. Days                                          | 20                                |
| 9. If less than one day, hours                   | -                                 |
| 9. min.                                          | -                                 |
| 10. Birthplace                                   | Seaboard, North Carolina          |
| 11. Usual occupation                             | Housewife                         |
| 12. INDUSTRY OR BUSINESS?                        | -                                 |
| 13a. Name                                        | Allen E. Joyner                   |
| 13b. Birthplace                                  | Southampton Co., Virginia         |
| 14a. Maiden name                                 | Virginia Barham                   |
| 14b. Birthplace                                  | Southampton Co., Virginia         |
| 15. Informant's own signature                    | Hospital Records                  |
| 16. Address                                      | -                                 |
| 17.Burial, cremation, or removal                 | Rosemont Cemetery                 |
| 17.Place                                         | Boykins                           |
| 17.Date                                          | Aug 14, 1943                      |
| 18. Signature of undertaker                      | H. M. Purviance                   |
| 18. Address                                      | Boykins, Virginia                 |
| 19.Filed                                         | Aug 14, 1943                      |
| 19. Signature                                    | Charles Hart                      |
| 20. Date of death                                | August 14, 1943 7 AM              |
| 21. Attending dates                              | August 4, 1943 to August 14, 1943 |
| 21. Last seen alive                              | Aug. 13, 1943                     |
| 21. Immediate cause of death                     | Coronary Sclerosis                |
| 21. Duration                                     | -                                 |
| 21. Due to                                       | -                                 |
| 21. 094A                                         | -                                 |
| 21. Other conditions                             | Senile Psychosis                  |
| 21. Name of operation                            | -                                 |
| 21. Date of operation                            | -                                 |
| 21. Major findingsof operations                  | -                                 |
| 21. None                                         | -                                 |
| 22.Accident, suicide, or homicide (specify)      | -                                 |
| 22.Date of occurrence                            | -                                 |
| 22.Where did injury occur?                       | -                                 |
| 22.(County)                                      | -                                 |
| 22.(State)                                       | -                                 |
| 22.Where did injjury occur?                      | -                                 |
| 22.Means of injury (Specify)                     | -                                 |
| Signature                                        | G. W. Brown, M. D.                |
| Address                                          | Williamsburg, Virginia            |
| Date signed                                      | 8/14/43                           |
|--------------------------------------------------|-----------------------------------|

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