Death Certificate of Johnson, Olia Blythe

# Narrative Summary

Olia Blythe Johnson, born 15 Jan 1904 in Virginia to Benjamin F. Blythe
and Ruth Lewis, died 11 Feb 1969 at Bride Street, Courtland, Southampton
County, Virginia. She was 65 years old. The immediate cause of death was
Coronary Occlusion with instant onset. She was widowed from James Frank
Johnson and worked as a housewife. She was buried at Beechwood Cemetery
in Boykins, Virginia.

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| ID   | Section             | Field Description                 | Value                              |
|------|---------------------|-----------------------------------|------------------------------------|
| 1    | Registration        | Registration Area Number          | 187                                |
| 2    | Registration        | Certificate Number                | 18                                 |
| 3    | Registration        | State File Number                 | 69 006651                          |
| 4    | Decedent            | Full Name                         | Olia Blythe Johnson                |
| 5    | Decedent            | Date of Death                     | February 11, 1969                  |
| 6    | Decedent            | Age                               | 65 years                           |
| 7    | Decedent            | Sex                               | Female                             |
| 8    | Decedent            | Color or Race                     | White                              |
| 9    | Place of Death      | Name of Hospital or Institution   | None                               |
| 10   | Place of Death      | City or Town                      | Courtland 23837                    |
| 11   | Place of Death      | County                            | Southampton                        |
| 12   | Place of Death      | Street Address                    | Bride Street                       |
| 13   | Residence           | State                             | Virginia                           |
| 14   | Residence           | City or Town                      | Courtland 23837                    |
| 15   | Residence           | County                            | Southampton                        |
| 16   | Residence           | Street Address                    | Bride Street                       |
| 17   | Personal Data       | Name of Father                    | Benjamin F. Blythe                 |
| 18   | Personal Data       | Name of Mother                    | Ruth Lewis                         |
| 19   | Personal Data       | Deceased Citizen of What Country  | USA                                |
| 20   | Personal Data       | Marital Status                    | Widowed                            |
| 21   | Personal Data       | Name of Spouse                    | James Frank Johnson                |
| 22   | Personal Data       | Birthplace of Deceased            | Virginia                           |
| 23   | Personal Data       | Date of Birth                     | January 15, 1904                   |
| 24   | Informant           | Name of Informant                 | Mrs. William Council II            |
| 25   | Occupation          | Usual or Last Occupation          | Housewife                          |
| 26   | Cause of Death      | Immediate Cause                   | Coronary Occlusion                 |
| 27   | Cause of Death      | Interval Between Onset and Death  | Instant                            |
| 28   | Cause of Death      | Other Significant Conditions      | (Not specified)                    |
| 29   | Cause of Death      | Autopsy                           | No                                 |
| 30   | Cause of Death      | Injury at Work                    | No                                 |
| 31   | Cause of Death      | Manner of Death                   | Natural Causes                     |
| 32   | Medical Examiner    | Name                              | H. E. Gardner, M.D.                |
| 33   | Medical Examiner    | County                            | Southampton                        |
| 34   | Medical Examiner    | Date Signed                       | 2-11-69                            |
| 35   | Funeral             | Place of Burial                   | Beechwood Cemetery                 |
| 36   | Funeral             | Location of Cemetery              | Boykins, Virginia                  |
| 37   | Funeral             | Name of Funeral Home              | J.M. Holland & Sons, Franklin, Va. |
| 38   | Funeral             | Funeral Director                  | (Not specified)                    |
| 39   | Registrar           | Name                              | Agnes E. Wright                    |
| 40   | Registrar           | Date Recorded                     | 2-12-69                            |