Death Certificate of Otelia Raiford Pond

Otelia Raiford Pond, 85, died on 22 Jul 1979 in Franklin from cardiac
failure. A resident of Sedley, she was married to Maynard Pond and was
buried at Rosemont Cemetery, Sedley, VA.

Mrs. Pond was born in Virginia on 8 Oct 1893 to Vernie Raiford and
Miss Bulls. She was white, female, and a housewife, with citizenship USA. 
Her usual residence was Route 1, Sedley, Southampton County, Virginia. 
Death occurred at Southampton Memorial Hospital, Franklin, at 8:40 PM. 
The informant was her nephew, August Bradshaw. Funeral arrangements were
handled by Wright Funeral Home, 206 W. Fourth Ave., Franklin, VA.

|-----------------------------------------------------|----------------------------------|
| Field                                               | Value                            |
|-----------------------------------------------------|----------------------------------|
| REGISTRATION AREA NUMBER                            | 233                              |
| REGISTRATION DISTRICT NUMBER                        | 095                              |
| STATE FILE NUMBER                                   | 79-019930                        |
| 1. FULL NAME OF DECEASED                            | Otelia Raiford Pond              |
| 2. SEX                                              | Female                           |
| 3. RACE                                             | White                            |
| 4. DATE OF DEATH                                    | July 22, 1979                    |
| 5. AGE                                              | 85                               |
| 6. IF UNDER 1 YEAR                                  | -                                |
| 7. DATE OF BIRTH                                    | Oct. 8, 1893                     |
| 8. WAS DECEDENT EVER IN ARMED FORCES?               | No                               |
| 01_3                                                | -                                |
| NAME OF HOSPITAL OR INSTITUTION OF DEATH            | Southampton Memorial Hospital    |
| 10. CITY OR TOWN OF DEATH                           | Franklin                         |
| 11. ADDRESS                                         | 100 Fairview Drive               |
| 12. COUNTY OF DEATH                                 | Southampton County               |
| 187                                                 | -                                |
| 13. RESIDENCE: STATE                                | Virginia                         |
| 14. RESIDENCE: CITY/TOWN                            | Sedley                           |
| 15. INSIDE CITY OR TOWN LIMITS?                     | No                               |
| 16. ADDRESS                                         | Route 1                          |
| 17. ZIP CODE                                        | 23878                            |
| 18. RESIDENCE: COUNTY                               | Southampton County               |
| 549_3                                               | -                                |
| K. NAME OF FATHER OF DECEASED                       | Vernie Raiford                   |
| 18. CITIZEN OF WHAT COUNTRY                         | USA                              |
| 19. BIRTHPLACE                                      | Virginia                         |
| 20. NEVER MARRIED                                   | -                                |
| 21. SPOUSE:                                         | Maynard Pond                     |
| 22. MAIDEN NAME OF MOTHER OF DECEASED               | Bulls                            |
| 23. USUAL OR LAST OCCUPATION                        | Housewife                        |
| 24. KIND OF BUSINESS OR INDUSTRY                    | -                                |
| 25. INFORMANT–OR SOURCE OF INFORMATION              | Nephew–August Bradshaw           |
| 28. CAUSE OF DEATH                                  | Cardiac Failure                  |
| DUE TO                                              | -                                |
| 26a. AUTHORITY?                                     | ✔                                |
| 26b. AUTHORIZED BY                                  | -                                |
| PREGNANCY IN PAST 3 MONTHS?                         | -                                |
| 26c. EXTERNAL CAUSE                                 | -                                |
| 26d. DESCRIBE HOW INJURY RELATING TO DEATH OCCURRED | -                                |
| PLACE OF INJURY                                     | -                                |
| CITY OR TOWN                                        | -                                |
| COUNTY                                              | -                                |
| STATE                                               | -                                |
| DATE OF INJURY                                      | -                                |
| Time of death                                       | 8:40 PM                          |
| SIGNATURE OF ATTENDING PHYSICIAN                    | Alan W. Edwards, M.D.            |
| DATE SIGNED                                         | July 23, 1979                    |
| ADDRESS OF ATTENDING PHYSICIAN                      | Franklin, Virginia               |
| 29. BURIAL, REMOVAL, CREMATION                      | Burial                           |
| NAME OF CEMETERY OR CREMATORY                       | Rosemont Cemetery                |
|--                                                   | Sedley, VA                       |
| FUNERAL DIRECTOR NAME                               | Wright Funeral Home              |
| ADDRESS                                             | 206 W. Fourth Ave., Franklin, VA |
| 30. REGISTRAR SIGNATURE                             | Connie R Hatfield                |
| DATE RECEIVED FOR FILING                            | 7-24-79                          |
|-----------------------------------------------------|----------------------------------|

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