Death Certificate of Malchus Maynard Pond

Malchus Maynard Pond, 77, died on 27 Sep 1957 in Sedley from uraemia due
to arterio sclerosis and nephritis chronic, with senility contributing.
A resident of Sedley, he was married to Otelia Raiford Pond and was
buried on 29 Sep 1957 at Rosemont Cemetery, Sedley, Virginia.

Mr. Pond was born 3 May 1880 in Southampton County, Virginia, was White,
male, and a farmer (owner). He was the son of George Pond and Sarah
Joyner, resided at RFD Sedley, Virginia, and the informant was Mrs.
Maynard Pond. No autopsy was performed.

|---------------------------------------------------|--------------------------------|
| Field                                             | Value                          |
|---------------------------------------------------|--------------------------------|
| Registration District No.                         | 878-A                          |
| State File No.                                    | 23192                          |
| Registered No.                                    | 4                              |
| 1a. COUNTY                                        | Southampton                    |
| 1b. CITY OR TOWN                                  | Sedley                         |
| 1c. HOSPITAL OR INSTITUTION                       | -                              |
| 1d. LENGTH OF STAY                                | -                              |
| 2a. STATE                                         | Virginia                       |
| 2b. COUNTY                                        | Southampton                    |
| 2c. CITY OR TOWN                                  | Sedley                         |
| 2d. ADDRESS                                       | RFD                            |
| 2e. INSIDE Corporate Limits                       | NO                             |
| 3a.                                               | Malchus                        |
| 3b.                                               | Maynard                        |
| 3c.                                               | Pond                           |
| 4. DATE OF DEATH                                  | September 27th, 1957           |
| 5. SEX                                            | Male                           |
| 6. COLOR OR RACE                                  | White                          |
| 7. MARRIED, NEVERE MARRIED, WIDOWED, DIVORCED     | Married                        |
| 8. DATE OF BIRTH                                  | May 3rd, 1880                  |
| 9. AGE                                            | 77                             |
| 10. USUAL OCCUPATION                              | Farming                        |
| 10a. KIND OF BUSINESS OR INDUSTRY                 | Farmer                         |
| 11. BIRTHPLACE                                    | Southampton County             |
| 12. CITIZEN OF WHAT COUNTRY?                      | USA                            |
| 13. FATHER'S NAME                                 | George Pond                    |
| 14. MOTHER'S MAIDEN NAME                          | Sarah Joyner                   |
| 16. NAME OF HUSBAND OR WIFE OF DECEASED           | Otelia Raiford Pond            |
| 17. INFORMANT'S SIGNATURE                         | Mrs Maynard Pond               |
| 17. ADDRESS                                       | Sedley, Virginia               |
| 18.DISEASE OR CONDITION DIRECTLY LEADING TO DEATH | Uraemia                        |
| 18.DUE TO (or as a consequence of)                | Arterio sclerosis              |
| 18.DUE TO                                         | Nephritis chronic 1592         |
| CONDITION CONTRIBUTING TO DEATH                   | Senility                       |
| 19b. MAJOR FINDINGS OF OPERATION                  | -                              |
| INTERVAL BETWEEN ONSET AND DEATH                  | 30 days                        |
| 20. AUTOPSY?                                      | NO                             |
| Date of Operation                                 | -                              |
| 21a. ACCIDENT                                     | -                              |
| 21a. SUICIDE                                      | -                              |
| 21a. HOMICIDE                                     | -                              |
| 21b. PLACE OF INJURY                              | -                              |
| 21c. CITY, TOWN, OR COUNTY                        | -                              |
| 21d. STATE                                        | -                              |
| 21e. INJURY OCCURRED                              | -                              |
| 21f. HOW DID INJURY OCCUR?                        | -                              |
| 22. CERTIFY THAT I ATTENDED DECEASED FROM         | Nov 5, 1945 TO Sept 27, 1957   |
| 22. LAST SAW THE DECEASED ALIVE ON                | Sept. 27, 1957 at 10:15 PM     |
| 22. DEATH OCCURRED AT                             | 10:15 P.M.                     |
| 22. SIGNATURE                                     | W. D. Lilisbrohp M.D.          |
| 23a. ADDRESS                                      | 105, S. 2nd Ave. Franklin, Va. |
| 23b. DATE SIGNED                                  | 10/1/57                        |
| 24a. BURIAL, CREMATION, REMOVAL                   | Burial                         |
| 24b. DATE                                         | Sept-29th, 1957                |
| 24c. NAME OF CEMETERY OR CREMATORY                | Rosemont Cemetery              |
| 24d. LOCATION                                     | Sedley, Virginia               |
| DATE RECD BY LOCAL REGISTRAR                      | Oct. 1, 1957                   |
| REGISTRAR'S SIGNATURE                             | Bessie W Bradshaw              |
| 25. FUNERAL DIRECTOR'S SIGNATURE                  | W.J.M.Holland & Sons Inc.        |
| 25. ADDRESS                                       | Franklin, Virginia             |
|---------------------------------------------------|--------------------------------|

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