Death Certificate of Tessie Daughtrey Lassiter

Tessie Daughtrey Lassiter, 81, died on 7 Aug 1962 in Southampton from
cerebral apoplexy due to hypertensive cardiovascular disease. A resident
of Franklin, she was widowed and was buried on 9 Aug 1962 at
Creekesville Baptist Church, Northampton, North Carolina.

Mrs. Lassiter was the daughter of William Daughtrey and Belvie Cotton,
born on 22 Sep 1880 in Virginia. She was a housewife, a citizen of the
USA, and her death occurred at her residence, 504 Pretlow St., Franklin.
The informant was Mrs. Ella Mae Phillips.

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|------------------------------------------|----------------------------------------------|
| Field                                    | Value                                        |
|------------------------------------------|----------------------------------------------|
| REGISTRATION AREA NUMBER                 | Y33                                          |
| CERTIFICATE NUMBER                       | 81                                           |
| STATE FILE NUMBER                        | 20590                                        |
| 1. FULL NAME OF DECEASED                 | Tessie Daughtrey Lassiter                    |
| 2. SEX                                   | F                                            |
| 3. COLOR OR RACE                         | White                                        |
| 4. DATE OF DEATH                         | August 7, 1962                               |
| 5. AGE AT TIME OF DEATH                  | 81 years                                     |
| 6. COUNTY OF DEATH                       | Southampton                                  |
| 7a. INSIDE CITY OR TOWN LIMITS?          | No                                           |
| 7b. NAME OF TOWN                         | Franklin                                     |
| 7c. ADDRESS                              | 504 Pretlow St.                              |
| 8. COUNTY OF DEATH                       | Southampton                                  |
| 9. NAME OF HOSPITAL OR OTHER INSTITUTION | 504 Pretlow St.                              |
| 10. LENGTH OF STAY IN HOSPITAL/ADDRESS   | -                                            |
| 11. STATE                                | Virginia                                     |
| 12. COUNTY                               | Southampton                                  |
| 13. CITY OR TOWN                         | Franklin                                     |
| 14. ADDRESS                              | 504 Pretlow St.                              |
| 15. RESIDENCE INSIDE CITY LIMITS?        | Yes                                          |
| NAME OF FATHER                           | William Daughtrey                            |
| MAIDEN NAME OF MOTHER                    | Belvie Cotton                                |
| 21. CITIZEN OF                           | USA                                          |
| 22. USUAL OR LAST OCCUPATION             | Housewife                                    |
| 23. KIND OF BUSINESS OR INDUSTRY         | -                                            |
| 24. MARITAL STATUS                       | Widowed                                      |
| 25. NAME OF HUSBAND OR WIFE              | Alvin G. Lassiter                            |
| 26. DATE OF BIRTH                        | Sept. 22, 1880                               |
| 27. BIRTHPLACE                           | Virginia                                     |
| 28. NAME OF INFORMANT OR SOURCE          | Mrs. Ella Mae Phillips                       |
| IMMEDIATE CAUSE                          | Cerebral Apoplexy                            |
| DUE TO                                   | Hypertensive Cardiovascular Disease          |
| INTERVAL BETWEEN ONSET AND DEATH         | ?                                            |
| 4443                                     | -                                            |
| I CERTIFY THAT DEATH OCCURRED AT         | 7-6-1959 TO 8-2-1962                         |
| THAT I LAST SAW THE DECEASED ALIVE ON    | 8-2-1962                                     |
| AND THAT DEATH OCCURRED AT               | 4:30 P.M.                                    |
| ACTUAL OR PRESUMED TIME OF DEATH         | 4:30 P.M.                                    |
| SIGNATURE AND TITLE                      | M. Lambdin, M.D.                             |
| DATE SIGNED                              | 8/7/62                                       |
| ADDRESS                                  | Franklin, Virginia                           |
| FUNERAL DIRECTOR                         | W.J.M. Holland                               |
| NAME/ADDRESS OF FUNERAL DIRECTOR         | W.J.M. Holland & Sons, Franklin, Va.         |
| PLACE OF BURIAL, CREMATION OR REMOVAL    | Creekesville Baptist Church, Northampton, NC |
| DATE OF BURIAL                           | 8/9/62                                       |
| REGISTRAR SIGNATURE                      | Malice M. Kitchen                            |
| DATE RECEIVED                            | 8/13/62                                      |
|------------------------------------------|----------------------------------------------|

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