Death Certificate of Worrell, Sarah

Sarah Worrell, a 72-year-old widow, was born in Virginia to Richard Gray
and Jane Bryant. She died of consumption in Boykinns, Southampton
County, Virginia, on 22 Feb 1918. She was buried in Southampton Co. on
23 Feb 1918.


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| Field                                                        | Value                                                           |
|--------------------------------------------------------------|-----------------------------------------------------------------|
| 1. PLACE OF DEATH                                            | Southampton County                                              |
| County of                                                    | Southampton                                                     |
| Magisterial District of                                      | Boykins                                                         |
| In or near Town of                                           | [blank]                                                         |
| City or                                                      | [blank]                                                         |
| 2. FULL NAME                                                 | Sarah Worrell                                                   |
| 3. SEX                                                       | Female                                                          |
| 4. COLOR OR RACE                                             | White                                                           |
| 5. SINGLE, MARRIED OR WIDOWED OR DIVORCED                    | Widow                                                           |
| 6. DATE OF BIRTH                                             | [blank]                                                         |
| 7. AGE                                                       | 72 yrs                                                          |
| 8. OCCUPATION                                                | [blank]                                                         |
| 9. BIRTHPLACE (State or Country)                             | Va                                                              |
| 10. NAME OF FATHER                                           | Richard Gray                                                    |
| 11. BIRTHPLACE OF FATHER                                     | Don't know                                                      |
| 12. MAIDEN NAME OF MOTHER                                    | Louise Bryant                                                   |
| 13. BIRTHPLACE OF MOTHER                                     | Don't know                                                      |
| 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE(Informant) | Mrs. S. F. Juise, Boykins, Va.                                  |
| 15. Filed                                                    | [blank]                                                         |
| 16. DATE OF DEATH                                            | Feb. 22, 1918                                                   |
| 17. I HEREBY CERTIFY That I attended  deceased from          | Feb. 22, 1918, and that I last saw her alive on Feb 22, 1918    |
| Cause of death                                               | Consumption                                                     |
| Contributory (SECONDARY)                                     | [blank]                                                         |
| Duration                                                     | [blank]                                                         |
| Signed                                                       | J. W. Bland, M.D.                                               |
| Date                                                         | Feb 23 1918                                                     |
| Address                                                      | Boykins, Va                                                     |
| 18. LENGTH OF RESIDENCE                                      | [blank]                                                         |
| 19. PLACE OF BURIAL OR REMOVAL                               | Southampton Co. Va                                              |
| 20. DATE OF BURIAL                                           | Feby 23, 1918                                                   |
| Address                                                      | Avery Bros, Smyth, Va                                           |
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