Death Certificate of Vaughan, Ethel Bland

# Narrative Summary

Ethel Bland Vaughan was born 22 Nov 1899 to James Buchanan Bland and
Marianne Louise English. Her father was born in U.S.A. and her mother in
Virginia. She died 7 Mar 1978 at her home in Kenbridge, Lunenburg
County, Virginia at age 78. The cause of death was asphyxia due to
cerebrovascular accident. She was the widow of Vernon Virginius Vaughan.
Burial took place at Perseverance Church, Dundas, Virginia. Clarke
Funeral Home of Kenbridge handled arrangements.

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| ID   | Section                 | Field Description                                     | Value                                        |
|------|-------------------------|-------------------------------------------------------|----------------------------------------------|
| 1    | Decedent                | Full Name                                             | Ethel Bland Vaughan                          |
| 2    | Decedent                | Date of Death                                         | March 7, 1978                                |
| 3    | Decedent                | Age at Death                                          | 78                                           |
| 4    | Decedent                | Date of Birth                                         | Nov. 22, 1899                                |
| 5    | Decedent                | Sex                                                   | Female                                       |
| 6    | Decedent                | Race                                                  | White                                        |
| 7    | Decedent                | Place of Death                                        | At Her Home                                  |
| 8    | Decedent                | County of Death                                       | Lunenburg County                             |
| 9    | Decedent                | City or Town of Death                                 | Kenbridge                                    |
| 10   | Decedent                | Street Address or R.F.D.                              | Rt. 1, Box 50                                |
| 11   | Decedent                | Usual Residence (State)                               | Virginia                                     |
| 12   | Decedent                | Usual Residence (County)                              | Lunenburg County                             |
| 13   | Decedent                | Usual Residence (City or Town)                        | Kenbridge                                    |
| 14   | Decedent                | Usual Residence (Street Address or R.F.D.)            | Rt. 1, Box 50                                |
| 15   | Decedent                | Usual Residence (Zip Code)                            | 23944                                        |
| 16   | Decedent                | Father's Name                                         | James Buchanan Bland                         |
| 17   | Decedent                | Father's Birthplace                                   | U.S.A.                                       |
| 18   | Decedent                | Mother's Maiden Name                                  | Marianne Louise English                      |
| 19   | Decedent                | Mother's Birthplace                                   | Virginia                                     |
| 20   | Decedent                | Marital Status                                        | Widowed                                      |
| 21   | Decedent                | Name of Spouse                                        | Vernon Virginius Vaughan                     |
| 22   | Decedent                | Usual Occupation                                      | Housewife                                    |
| 23   | Decedent                | Kind of Business/Industry                             | None                                         |
| 24   | Informant               | Name                                                  | Mrs. Louise V. Jeter, Daughter               |
| 25   | Medical Certification   | Immediate Cause of Death (A)                          | Asphyxia                                     |
| 26   | Medical Certification   | Due to (B)                                            | Cerebrovascular accident                     |
| 27   | Medical Certification   | Interval between onset and death (A)                  | Minutes                                      |
| 28   | Medical Certification   | Interval between onset and death (B)                  | Months                                       |
| 29   | Medical Certification   | Other significant conditions (Part II)                | Generalized arteriosclerosis                 |
| 30   | Medical Certification   | Autopsy                                               | No                                           |
| 31   | Medical Certification   | Injury Description                                    | No injury relating to death occurred         |
| 32   | Medical Certification   | If female, was there a pregnancy within 3 months?     | No                                           |
| 33   | Medical Certification   | Date of Injury                                        | (Blank)                                      |
| 34   | Medical Certification   | Place of Injury                                       | (Blank)                                      |
| 35   | Medical Certification   | Injury at Work?                                       | (Blank)                                      |
| 36   | Medical Certification   | Manner of Injury                                      | (Blank)                                      |
| 37   | Medical Certification   | Date of Certification                                 | 3/8/78                                       |
| 38   | Medical Certification   | Signature of Physician                                |                                              |
| 39   | Medical Certification   | Name of Attending Physician                           | J. H. Smith, M.D.                            |
| 40   | Medical Certification   | Address of Attending Physician                        | Kenbridge, Va.                               |
| 41   | Disposition             | Burial, Removal, Cremation                            | Burial                                       |
| 42   | Disposition             | Place of Disposition                                  | Perseverance Church, Dundas, Virginia        |
| 43   | Disposition             | Name of Funeral Home                                  | Clarke Funeral Home                          |
| 44   | Disposition             | Address of Funeral Home                               | Kenbridge, Virginia 23944                    |
| 45   | Registrar               | Signature of Registrar                                | Richard W. Harris                            |
| 46   | Registrar               | Deputy                                                | Martha A. Harris                             |
| 47   | Registrar               | Date Filed                                            | 3-17-78                                      |