Elizabeth Waites, Newberry County South Carolina Genealogy Trails

1. PLACE of DEATH County of: Newberry Township of (or) city of:-- Home address:--	Standard Certificate of Death State of South Carolina Bureau of Vital Statistics State Board of Health 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 #3023 Registered No.(for use of Local Registrar)
2. FULL NAME: Elizabeth Waites Residence: In City Newberry Yrs.---Mth---Days---
Personal and Statistical Particulars		Medical Certificate of Death
3. Sex: F 4. Color or Race: White 5. Single/Married/Widowed/Divorced: Widower		21. DATE OF DEATH (Mth/Day/Yr): February 24, 1928
6. Date of Birth (Mth/Day/Yr): June 8, 1858		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 70 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: Cancer of bladder.
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): State or Country: South Carolina
FATHER 13. NAME: James Cotney 14. BIRTHPLACE (city or town):---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 Smith 16. BIRTHPLACE (city or town):---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: J.B. Tibler, Newberry, South Carolina
18. BURIAL CREMATION OR REMOVAL: Place Rosemont Cemetery, Date February 24, 1928
19. UNDERTAKER/ADDRESS: Welborn Walburke, Newberry, South Carolina
20. FILED: