Infant Emmet Virgin (27071)

Item

Official death certificate for Infant Emmet Virgin. Identifier number 27071.

Title

Infant Emmet Virgin (27071)

Description

Death certificate for Infant Emmet Virgin. Born 10-03-1921. Died 10-03-1921.

Identifier

27071

County of Death

Ware

City of Death

Waycross

Registration District No.

1231

First Name

Emmet

Middle Name or Initial

N/A

Last Name

Virgin

Gender

Male

Color or Race

Colored

Marital Status

Single

Date of Birth

October 3, 1921

Age

0 years

Birthplace

Ware Co [County]

Name of Father

Emmet Virgin

Birthplace of Father

Ware Co [County]

Maiden Name of Mother

Olie Davis [from handwriting]

Birthplace of Mother

Ga [Georgia]

Informant

Emmit Virgin [from handwriting]

Informant Address

Waycross

Date Filed

October 3, 1921

Registrar

J. R. Scully

Date of Death

October 3, 1921

Cause of Death

Stillborn

Medical Doctor

H. C. Scarlett, M.D.

Date of Doctor’s Signature

October 3, 1921

Medical Doctor Address

Arthur E. Jones [A. E. Jones]

Place of Burial

Red Hill Cemetery

Date of Burial

October 3, 1921

Undertaker

Arthur E. Jones

Address of Undertaker

Waycross