South Carolina Genealogy Trails - Finding Ancestors Wherever Their Trails Led
Death Certificate of James Todd
Contributed by Horretta Wilkins

Standard Certificate of Death State of South Carolina

Bureau of Vital Statistics State Board of Health

1.  PLACE of DEATH

County of:  Newberry
Township of (or) city of:  --
Home address:  Route 1 box 124
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
5749
Registered No. (for use of Local Registrar) 3400

2. FULL NAME: James Todd                                   Residence: In City---Yrs.---Mth---Days---

Personal and Statistical Particulars

Medical Certificate of Death

3. Sex: Male     4. Color or Race: Colored

5. Single/Married/Widowed/Divorced: Married
5a.  If married:  Carrie Todd

21. DATE OF DEATH (Mth/Day/Yr):  April 8, 1939 

 

6. Date of Birth (Mth/Day/Yr)April 3, 1903, South Carolina

 

 

22. I Hereby Certify, That I attended deceased from Nov 15, 1936 to April 8, 1937; last saw him alive on April 7th, 1937, death is said to have occurred on the date stated above, at 3:30 am/pm.
7. Age: Years---Months  --, Days -- (If less than 1 day, ---hrs. or ----min.) 61 The principal cause of death and related causes of importance in order of onset were as follows:  ? Hemorrhage

OCCUPATION

8. Trade, profession or particular kind of work done, as spinner, sawyer, bookeeper, etc: -----.  Farmer

9. Industry or business in which work was done, as silk mill, saw mill, bank, etc: -----.  Own Farm

10. Date deceased last worked at this occupation (Mth & Yr):  ----.  Nov. 1936

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: Cho. Myocarditia & Cho. Nephritis.

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:  Thomas Kitt 

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 NAMEFannie Todd

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: J E Grant

Address: Newberrry, SC

17. Informant/AddressCarrie Todd, South Greenwood, South Carolina
18. BURIAL CREMATION OR REMOVAL: Place:  Wertz Cemetery       Date:  April 11, 1939
19. UNDERTAKER/ADDRESS:  Williams & Pratt Newberry, South Carolina
20. FILEDApril 12, 1939

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