Death Certificate of Porter, Mattie

Mrs. Mattie Porter, age 42, died of puerperal septicemia in Southampton
County, Newsoms, Virginia, on 16 Apr 1919. She was born 15 Apr 1877 in
Virginia to Frank T. Simmons and Martha Channell. She was married to
Willie J. Porter. Burial took place in Newsoms on 18 Apr 1919.

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| Field                                              | Value                 |
|----------------------------------------------------|-----------------------|
| 1. PLACE OF DEATH                                                          |
| County of                                          | Southampton           |
| Magisterial District of                            | Newsoms               |
| 2. FULL NAME                                       | Mrs. Mattie Porter    |
| 3. SEX                                             | Female                |
| 4. COLOR OR RACE                                   | White                 |
| 5. SINGLE, MARRIED OR WIDOWED OR DIVORCED          | Married               |
| 6. DATE OF BIRTH                                   | April 15, 1877        |
| 7. AGE                                             | 42 yrs                |
| 8. OCCUPATION                                      | House wife            |
| 9. BIRTHPLACE (State or Country)                   | Virginia              |
| 10. NAME OF FATHER                                        | Frank T. Simmons      |
| 11. BIRTHPLACE OF FATHER (State or Country)        | Va                    |
| 12. MAIDEN NAME OF MOTHER                          | Martha Channell       |
| 13. BIRTHPLACE OF MOTHER (State or Country)        | Va                    |
| 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE                          |
| Informant                                          | Willie J. Porter      |
| (Address)                                          | Newsoms, Va.          |
| Filed                                              | April 18, 1919        |
| Local Registrar                                    | Lora E. Bryant        |
| 16. DATE OF DEATH                                  | April 16, 1919        |
| 17. I HEREBY CERTIFY...                                                    |
| Attended from                                      | April 3, 1919         |
| Last saw alive                                     | April 16th, 1919      |
| Death occurred at                                  | 1 P.M.                |
| The CAUSE OF DEATH                                 | Puerperal septicemia  |
| (Duration)                                         | 14 days               |
| Contributory (Secondary)                           | [blank]               |
| (Duration)                                         | [blank]               |
| (Signed)                                           | W. B. Barham, M.D.    |
| Date signed                                        | April 18, 1919        |
| Address                                            | Newsoms, Va.          |
| 18. PLACE OF BURIAL OR REMOVAL                     | Newsoms               |
| DATE OF BURIAL                                     | April 18, 1919        |
| UNDERTAKER                                         | W J M Holland         |
| ADDRESS                                            | Franklin, Va.         |
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