Newberry County, South Carolina Genealogy Trails 
Finding Ancestors Wherever Their Trails Led

contributed by Randy Butler

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  
# 8277


 

Registered No.(for use of Local Registrar)

2. FULL NAME:    Eula Lane Wilson                                                      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: Widowed, husband:  J.W. Wilson

21. DATE OF DEATH (Mth/Day/Yr) May 11, 1940

 

6. Date of Birth (Mth/Day/Yr):   February 21, 1872

 

 

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 68 Months 2 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:  Chronic pyelonephritis.

OCCUPATION

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

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:   J.C. Lane

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 Buzhardt

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:   Mrs. Odell Wilson
18. BURIAL CREMATION OR REMOVAL: Place Rosemont Cemetery, Date   May 12, 1940
19. UNDERTAKER/ADDRESS James Lavell Funeral Home, Newberry, SC
20. FILED:

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