Death Certificate of Mumford, Richard


Richard Mumford, age 66, born 6 Oct 1861 in Southampton Co., Va., son of
Thomas Mumford and Penny Gaskins, married to Emma C. Mumford, resided at
1800 W. Liberty St., Norfolk, Va. He died 28 Apr 1928 in Norfolk, Va.
from pulmonary tuberculosis with chronic myocarditis.

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| Field                            | Value                        |
|----------------------------------|------------------------------|
| Place of Death - County          | Norfolk                      |
| Place of Death - City or Town    | Norfolk                      |
| Full Name                        | Richard Mumford              |
| Residence                        | 1800 W. Liberty St.          |
| Length of residence in city/town | 14 years                     |
| Sex                              | Male                         |
| Color or Race                    | White                        |
| Marital Status                   | Married                      |
| Name of Wife                     | Emma C. Mumford              |
| Date of Birth                    | 6 Oct 1861                   |
| Age                              | 66 years, 6 months, 22 days  |
| Occupation                       | Watchman                     |
| Name of Employer                 |                              |
| Birthplace                       | Southampton Co., Va.         |
| Father's Name                    | Thomas Mumford               |
| Father's Birthplace              | Va.                          |
| Mother's Maiden Name             | Penny Gaskins                |
| Mother's Birthplace              | Va.                          |
| Informant                        | L. E. Mumford                |
| Informant Address                | 805 W. Liberty St.           |
| Filed                            | 29 Apr 1928                  |
| Registrar                        | P. S Lehman                 |
| Date of Death                    | 28 Apr 1928                  |
| Attended From                    | 19 Mar 1928                  |
| Attended To                      | 28 Apr 1928                  |
| Last Saw Alive                   | 28 Apr 1928                  |
| Death Occurred                   | 28 Apr 1928, 6 a.m.          |
| Cause of Death                   | Pulmonary tuberculosis       |
| Duration (Cause of Death)        | 2 years, 2 months            |
| Contributory (Secondary)         | Chronic myocarditis          |
| Where Disease Contracted         | Not at place of death        |
| Operation                        | No                           |
| Autopsy                          | No                           |
| Test Confirmed Diagnosis         | Physical signs               |
| Physician Signature              | G. W. Lawson, M.D.           |
| Date of Burial                   | 30 Apr 1928                  |
| Place of Burial                  | Isle of Wight Co., Va.       |
| Undertaker                       | E. Lee Cox                   |
| Undertaker Address               | Norfolk, Va.                 |
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