Death Certificate of Spivey, Jennie Wilson

Jennie Wilson Spivey, daughter of Moses Darden and Eliza Holland, was
born on 19 Nov 1878 in Nansemond Co., Va. She died on 12 Oct 1956 at
Portsmouth General Hospital, Portsmouth, Va.

------------------------------------------------------------------------------------------------------------------
| ID | Section                          | Field Description            | Value                                   |
|----|----------------------------------|------------------------------|-----------------------------------------|
| 1  | Place of Death                   | County                       | Norfolk                                 |
| 2  | Place of Death                   | State                        | Virginia                                |
| 3  | Place of Death                   | City or Town                 | Portsmouth                              |
| 4  | Place of Death                   | Institution or Hospital      | Portsmouth General Hospital             |
| 5  | Length of Stay                   | Length of Stay               | 7 1/2 hours                             |
| 6  | Usual Residence                  | County                       | Norfolk                                 |
| 7  | Usual Residence                  | State                        | Virginia                                |
| 8  | Usual Residence                  | City or Town                 | West Norfolk                            |
| 9  | Usual Residence                  | Street Address               | 710 Fourth Ave.                         |
| 10 | Name of Deceased                 | Name                         | Jennie Wilson Spivey                    |
| 11 | Sex                              | Sex                          | Female                                  |
| 12 | Color or Race                    | Color or Race                | White                                   |
| 13 | Date of Birth                    | Date of Birth                | Nov. 19, 1878                           |
| 14 | Age                              | Age                          | 77 years                                |
| 15 | Marital Status                   | Marital Status               | Widowed                                 |
| 16 | Usual Occupation                 | Usual Occupation             | Housewife                               |
| 17 | Kind of Business or Industry     | Kind of Business or Industry | Housewife                               |
| 18 | Birthplace                       | Birthplace                   | Nansemond Co., Va.                      |
| 19 | Father's Name                    | Father's Name                | Moses Darden                            |
| 20 | Mother's Maiden Name             | Mother's Maiden Name         | Eliza Holland                           |
| 21 | Name of Husband or Wife          | Name of Husband or Wife      | George Lonnie Spivey                    |
| 22 | Informant                        | Name                         | Mrs. Lewis B. Smith                     |
| 23 | Informant                        | Address                      | West Norfolk, Va.                       |
| 24 | Date of Death                    | Date of Death                | Oct. 12, 1956                           |
| 25 | Hour of Death                    | Hour of Death                | 5:15 A.M.                               |
| 26 | Cause of Death                   | Immediate Cause              | Chronic Myocarditis with Decompensation |
| 27 | Cause of Death                   | Due to                       | Arteriosclerotic Heart Disease          |
| 28 | Interval between onset & death   | Interval                     | 4 years                                 |
| 29 | Was Autopsy Performed            | Was Autopsy Performed        | No                                      |
| 30 | Injury                           | Type                         | Not indicated                           |
| 31 | Injury                           | Date                         | Not indicated                           |
| 32 | Injury                           | Place                        | Not indicated                           |
| 33 | Injury                           | While at Work                | Not indicated                           |
| 34 | Date Last Seen Alive             | Date                         | Oct. 11, 1956                           |
| 35 | Medical Certification            | Signature                    | L. L. Herring, M.D.                     |
| 36 | Medical Certification            | Date Signed                  | 10-14-56                                |
| 37 | Removal                          | Type                         | Burial                                  |
| 38 | Removal                          | Date                         | 10-14-56                                |
| 39 | Name of Cemetery or Crematory    | Name                         | Olive Branch                            |
| 40 | Location                         | City, town, or county        | Portsmouth, Va.                         |
| 41 | Funeral Director's Signature     | Signature                    | C. H. Snellings                         |
| 42 | Funeral Director's Address       | Address                      | Portsmouth, Va.                         |
| 43 | Registrar's Signature            | Signature                    | (Signature present, not fully legible)  |
| 44 | Date Received by Local Registrar | Date                         | Oct. 15, 1956                           |
------------------------------------------------------------------------------------------------------------------