Death Certificate of Pope, Johnny Henry

Johnny Henry Pope, son of Samuel H. Pope and Fannie Vick, was born 17
Jul 1883 in Virginia and died 23 Feb 1960 in Carrsville, Isle of Wight,
Virginia.

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| ID | Section                             | Field Description                        | Value                      |
|----|-------------------------------------|------------------------------------------|----------------------------|
| 1  | PLACE OF DEATH                      | COUNTY                                   | Isle of Wight              |
| 2  | PLACE OF DEATH                      | MAGISTERIAL DISTRICT                     | 6                          |
| 3  | PLACE OF DEATH                      | STATE                                    | Virginia                   |
| 4  | PLACE OF DEATH                      | CITY OR TOWN                             | Carrsville                 |
| 5  | PLACE OF DEATH                      | HOSPITAL OR INSTITUTION                  | [Blank]                    |
| 6  | PLACE OF DEATH                      | LENGTH OF STAY                           | [Blank]                    |
| 7  | USUAL RESIDENCE                     | STATE                                    | Virginia                   |
| 8  | USUAL RESIDENCE                     | COUNTY                                   | Isle of Wight              |
| 9  | USUAL RESIDENCE                     | CITY OR TOWN                             | Carrsville                 |
| 10 | USUAL RESIDENCE                     | STREET ADDRESS                           | Route #1                   |
| 11 | USUAL RESIDENCE                     | IS RESIDENCE INSIDE CITY OR TOWN LIMITS? | No                         |
| 12 | USUAL RESIDENCE                     | IS RESIDENCE ON A FARM?                  | Yes                        |
| 13 | NAME OF DECEASED                    | FIRST                                    | Johnny                     |
| 14 | NAME OF DECEASED                    | MIDDLE                                   | Henry                      |
| 15 | NAME OF DECEASED                    | LAST                                     | Pope                       |
| 16 | SEX                                                                            | Male                       |
| 17 | COLOR OR RACE                                                                  | White                      |
| 18 | MARITAL STATUS                                                                 | Married                    |
| 19 | DATE OF BIRTH                                                                  | July 17th, 1883            |
| 20 | AGE                                 | Years                                    | 76                         |
| 21 | AGE                                 | Months                                   | 6                          |
| 22 | AGE                                 | Days                                     | [Blank]                    |
| 23 | AGE                                 | Hours                                    | [Blank]                    |
| 24 | AGE                                 | Minutes                                  | [Blank]                    |
| 25 | USUAL OCCUPATION                                                               | Farmer                     |
| 26 | KIND OF BUSINESS OR INDUSTRY                                                   | Agriculture                |
| 27 | BIRTHPLACE                                                                     | Virginia                   |
| 28 | CITIZEN OF WHAT COUNTRY                                                        | U.S.A.                     |
| 29 | FATHER'S NAME                                                                  | Samuel H. Pope             |
| 30 | MOTHER'S MAIDEN NAME                                                           | Fannie Vick                |
| 31 | NAME OF HUSBAND OR WIFE OF DECEASED                                            | Lula Crowder Pope          |
| 32 | INFORMANT'S SIGNATURE                                                          | Mrs. J.H. Pope             |
| 33 | INFORMANT'S ADDRESS                                                            | Carrsville, Virginia       |
| 34 | DATE OF DEATH                       | Month                                    | February                   |
| 35 | DATE OF DEATH                       | Day                                      | 23rd                       |
| 36 | DATE OF DEATH                       | Year                                     | 1960                       |
| 37 | CAUSE OF DEATH                      | IMMEDIATE CAUSE                          | Embolism pulmonary acute   |
| 38 | CAUSE OF DEATH                      | DUE TO                                   | Suprapubic cystostomy      |
| 39 | CAUSE OF DEATH                      | DUE TO                                   | Carcinoma of prostate      |
| 40 | INTERVAL BETWEEN ONSET AND DEATH                                               | Instantaneous              |
| 41 | ACCIDENT, SUICIDE, HOMICIDE                                                    | [Blank]                    |
| 42 | AUTOPSY PERFORMED?                                                             | No                         |
| 43 | INJURY OCCURRED                     | DATE                                     | 2/24/1959                  |
| 44 | INJURY OCCURRED                     | DATE                                     | 2/17/1960                  |
| 45 | INJURY OCCURRED                     | DATE                                     | 2/17/1960                  |
| 46 | SIGNATURE OF PHYSICIAN                                                         | Castella Godwin, M.D.      |
| 47 | ADDRESS OF PHYSICIAN                                                           | 105 E. Main, Franklin, Va. |
| 48 | DATE SIGNED                                                                    | 2/24/60                    |
| 49 | BURIAL, CREMATION, REMOVAL          | SPECIFY                                  | Burial                     |
| 50 | DATE OF BURIAL                                                                 | Feb. 25, 1960              |
| 51 | NAME OF CEMETERY OR CREMATORY                                                  | Beaver Dam Church Cemetery |
| 52 | LOCATION                                                                       | Isle of Wight, Virginia    |
| 53 | DATE RECEIVED BY LOCAL REGISTRAR                                               | 2-28-60                    |
| 54 | SIGNATURE OF REGISTRAR                                                         | Mrs. L. B. Pope            |
| 55 | FUNERAL DIRECTORS                   | SIGNATURE                                | W.J.M. Holland & Sons      |
| 56 | FUNERAL DIRECTORS                   | ADDRESS                                  | Franklin, Virginia         |
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