Newberry County South Carolina Genealogy Trails

South Carolina Genealogy Trails - Finding Ancestors Wherever Their Trails Led
contributed by Randy Butler

Standard Certificate of Death State of South Carolina Bureau of Vital Statistics State Board of Health 1. PLACE of DEATH County of: -- Township of (or) city of: Newberry, SC Home address: Newberry twp #9, Newberry Co, SC Registration District No.-- (No-----St.;------Ward) If death occurred in a Hospital or institution give its NAME instead of street and number File No.- For State Registrar Only #9274 Registered No. (for use of Local Registrar) 2. FULL NAME: Annie Bell Butler Residence: In City---Yrs.---Mth---Days---
Personal and Statistical Particulars		Medical Certificate of Death
3. Sex: F 4. Color or Race: White 5. Single/Married/Widowed/Divorced: Married		21. DATE OF DEATH (Mth/Day/Yr): May 18, 1918
6. Date of Birth (Mth/Day/Yr):		22. I Hereby Certify, That I attended deceased from ---------, 19-- to ---, 19--; last saw h-- alive on ---, 19--, death is said to have occurred on the date stated above, at ---am/pm.
7. Age: Years---Months---Days---(If less than 1 day, ---hrs. or ----min		The principal cause of death and related causes of importance in order of onset were as follows: apoplexy.
OCCUPATION 8. Trade, profession or particular kind of work done, as spinner, sawyer, bookeeper, etc: housewife. 9. Industry or business in which work was done, as silk mill, saw mill, bank, etc:-----. 10. Date deceased last worked at this occupation (Mth & Yr):-------. 11. Total time (years) spent in this occupation:------.		Was this death due to pregnancy or to childbirth? If so, sate which----. Contributory causes of importance not related to principal cause:----. Name of operation----. Date of ---. What test confirmed diagnosis? ---. Was there an autopsy?--
12. BIRTHPLACE (city or town): Newberry State or Country: South Carolina
FATHER 13. NAME: Jacob Sam Bowers 14. BIRTHPLACE (city or town): Newberry State or Country: South Carolina		23. If death was due to external causes (violence) fill in also the following: Accident, suicide, or homicide: ---. Date of injury --, 19--. Where did injury occur (city/town/state; industry, home, public place)? --- Manner of injury:--- Nature of injury:---
MOTHER 15. MAIDEN NAME: Elizabeth C. Bowers 16. BIRTHPLACE (city or town): Newberry State or Country: South Carolina		24. Was disease or injury in any way related to occupation of deceased:---. If so, specify--. Signed:---- Address:----
17. Informant/Address: Jacob M. Bowers, Prosperity, SC
18. BURIAL CREMATION OR REMOVAL: Place St. Lukes, Date-------
19. UNDERTAKER/ADDRESS: E. A. Counts, Prosperity, SC
20. FILED: