Death Certificate of Hill, George Lewis

George Lewis Hill, age 54, was born on 1 Jul 1908 in Virginia to Samuel
Hill and Eva Britt. He resided in Newsoms, Southampton County, Virginia.
Married to Nellie Gray Hill, he died on 27 Feb 1963 in Newsoms,
Southampton County, after being struck by a Seaboard Freight Train.
Cause of death was multiple fractures of the neck, chest wall, skull,
spine, right arm, and left leg.

----------------------------------------------------------------------------------------------------------------------------------
| Field                                              | Value                                                                     |
|----------------------------------------------------|---------------------------------------------------------------------------|
| 1. FULL NAME OF DECEASED                           | George Lewis Hill                                                         |
| 2. SEX                                             | Male                                                                      |
| 3. DATE OF DEATH                                   | 27 Feb 1963                                                               |
| 4. AGE OF DECEASED                                 | 54 years                                                                  |
| 5. IF UNDER 1 YEAR, MONTHS/DAYS                    |                                                                           |
| 6. IF UNDER 1 DAY, HOURS/MINUTES                   |                                                                           |
| 7. COLOR OR RACE                                   | White                                                                     |
| 8. NAME OF HOSPITAL OR INSTITUTION OF DEATH        | None                                                                      |
| 9. CITY OR TOWN OF DEATH                           | Newsoms                                                                   |
| 10. COUNTY OF DEATH                                | Southampton                                                               |
| 11. STREET ADDRESS OR R.F.D. NO. OF PLACE OF DEATH | Enroute to Hospital                                                       |
| 12. USUAL RESIDENCE OF DECEASED                    | Virginia                                                                  |
| 13. COUNTY OF DECEASED'S RESIDENCE                 | Southampton                                                               |
| 14. CITY OR TOWN OF RESIDENCE                      | Newsoms                                                                   |
| 15. STREET ADDRESS OR R.F.D. NO. OF RESIDENCE      | R F D #1                                                                  |
| 16. NAME OF FATHER OF DECEASED                     | Samuel Hill                                                               |
| 17. NAME OF MOTHER OF DECEASED                     | Eva Britt                                                                 |
| 18. CITIZEN OF WHAT COUNTRY                        | USA                                                                       |
| 19. MARRIED, WIDOWED, DIVORCED, NEVER MARRIED      | Married                                                                   |
| 20. NAME OF SPOUSE                                 | Nellie Gray Hill                                                          |
| 21. BIRTHPLACE                                     | Virginia                                                                  |
| 22. DATE OF BIRTH                                  | July 1, 1908                                                              |
| 23. USUAL OR LAST OCCUPATION                       | Farmer                                                                    |
| 24. KIND OF BUSINESS OR INDUSTRY                   | Farming                                                                   |
| 25. INFORMANT OR SOURCE OF INFORMATION             | Mrs George Hill                                                           |
| 26. CAUSE OF DEATH (PART I)                        | Multiple fractures of neck, chest wall, skull, spine, right armandleftleg |
| INTERVAL BETWEEN ONSET AND DEATH                   | 10-15 min (est)                                                           |
| 27. OTHER SIGNIFICANT CONDITIONS (PART II)         | 8104                                                                      |
| 28. AUTOPSY?                                       | Authorization                                                             |
| 29. IF FEMALE, WAS THERE A PREGNANCY IN LAST YEAR  |                                                                           |
| 30. EXTERNAL CAUSE OF DEATH WAS                    | By driver of pick-up (truck) struck by Seaboard Freight Train             |
| 31. DESCRIBE HOW INJURY OCCURRED                   | Accident occurred at grade crossing                                       |
| 32. DATE OF INJURY                                 | 27 Feb 1963                                                               |
| 33. PLACE OF INJURY                                | At RR crossing near Newsoms, Southampton Co, Va                           |
| 34. TIME OF DEATH                                  | 5 P.M.                                                                    |
| 35. ACTUAL OR APPROXIMATE                          | Actual                                                                    |
| 36. REMOVAL, CREMATION, OR PLACE                   | Burial                                                                    |
| 37. FUNERAL DIRECTOR                               | W.J. Holland & Sons, Franklin, Va.                                        |
| 38. PLACE OF BURIAL, CREMATION, OR REMOVAL         | Newsoms Cemetery, Newsoms, Virginia                                       |
| 39. DATE OF BURIAL, CREMATION, OR REMOVAL          | 3/1/63                                                                    |
| 40. REGISTRAR SIGNATURE                            | Mable R.                                                       |
| 41. DATE SIGNED BY REGISTRAR                       | 3/4/63                                                                    |
| 42. MEDICAL EXAMINER SIGNATURE                     | T.A. Morgan, M.D.                                                         |
| 43. DATE SIGNED BY MEDICAL EXAMINER                | 1 March 1963                                                              |
----------------------------------------------------------------------------------------------------------------------------------