Susie w. Willingham, Newberry County South Carolina Genealogy Trails

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

1. PLACE of DEATH County of: Richland County Township of (or) city of: City of Columbia, SC 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 # 17224 Registered No.(for use of Local Registrar)
2. FULL NAME: Mrs. Susie W. Willingham 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: Widowed		21. DATE OF DEATH (Mth/Day/Yr): October 4, 1927
6. Date of Birth (Mth/Day/Yr): (none stated)		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: Cerebral Apoplexy
OCCUPATION 8. Trade, profession or particular kind of work done, as spinner, sawyer, bookeeper, etc: domestic. 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:
FATHER 13. NAME: Isaac Cromer 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: Don’t Know 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: Mrs. Luther Darby, Columbia, SC
18. BURIAL CREMATION OR REMOVAL: Place Newberry, SC Date October 5, 1927
19. UNDERTAKER/ADDRESS: J.D. Dunbar, Columbia, SC
20. FILED: