Death Certificate of James Algie Spivey

James Algie Spivey, 92, died on 7 Jun 1964 in Carrsville, Isle of Wight,
Virginia from acute myocardial failure due to arteriosclerosis and
senility. A resident of Carrsville, he was widowed and widow of Mary
Vaughan Spivey and was at buried at Colosse Baptist Church Cemetery, 
Isle of Wight, Virginia.

Mr. Spivey was born in Virginia on 11 Sep 1871 to Benjamin A. Spivey and
Louisa Redd. He was white, male, and a farmer by occupation. His death
was certified at 10:00 P.M. on 8 Jun 1964. No autopsy was performed. He
was not a veteran.

|----------------------------------------------------------------------------------------------------|
| Field                                 | Value                                                      |
|---------------------------------------|------------------------------------------------------------|
| 146 REGISTRATION AREA NUMBER          | 146                                                        |
| CERTIFICATE NUMBER                    | 37                                                         |
| STATE FILE NUMBER                     | 17515                                                      |
| 1. FULL NAME OF DECEASED              | James Algie Spivey                                         |
| 2. SEX                                | male [X], female [ ]                                       |
| 3. DATE OF DEATH                      | June 7, 1964                                               |
| 4. AGE OF DECEASED                    | 92                                                         |
| 5. COLOR OR RACE                      | White [X], Negro [ ], Other [ ]                            |
| 6. NAME OF HOSPITAL OR INSTITUTION    | -                                                          |
| 7. COUNTY OF DEATH                    | Isle of Wight                                              |
| 8. CITY OR TOWN OF DEATH              | Carrsville                                                 |
| 9. ADDRESS                            | R.F.D.                                                     |
| 10. RESIDENCE: STATE                  | Virginia                                                   |
| 11. RESIDENCE: COUNTY                 | Isle of Wight                                              |
| 12. RESIDENCE: CITY/TOWN              | Carrsville                                                 |
| 13. ADDRESS                           | R.F.D.                                                     |
| NAME OF FATHER OF DECEASED            | Benjamin A. Spivey                                         |
| MAIDEN NAME OF MOTHER OF DECEASED     | Louisa Redd                                                |
| 15. CITIZEN OF WHAT COUNTRY           | USA                                                        |
| 16. VETERAN                           | Yes [ ], No [X]                                            |
| 17. MARITAL STATUS                    | Married [ ], Never Married [ ], Widowed [X], Divorced [ ]  |
| 18. NAME OF SPOUSE                    | Mary Vaughan Spivey                                        |
| 19. BIRTHPLACE                        | Virginia                                                   |
| 20. DATE OF BIRTH OF DECEASED         | September 11, 1871                                         |
| 21. USUAL OR LAST OCCUPATION          | Farmer                                                     |
| 22. KIND OF BUSINESS OR INDUSTRY      | -                                                          |
| 23. INFORMANT – SOURCE OF INFORMATION | Mrs. Mary Barrett                                          |
| 26. CAUSE OF DEATH                    |                                                            |
| Immediate cause                       | Acute Myocardial Failure                                   |
| Due to                                | Arteriosclerosis                                           |
| Due to                                | Senility                                                   |
| 26B. AUTOPSY?                         | Yes [ ], No [X]                                            |
| 27. PREGNANCY IN PAST 3 MONTHS?       | Past 3 months [ ], Not pregnant [X]                        |
| 28A. EXTERNAL CAUSE                   | Accident [ ], Suicide [ ], Homicide [ ], Other [ ]         |
| 28B. INJURY DATE                      | (blank)                                                    |
| 28C. DESCRIBE HOW INJURY OCCURRED     | -                                                          |
| 28D. PLACE OF INJURY                  | -                                                          |
| 29. MEDICAL CERTIFICATION             | I CERTIFY THAT DEATH OCCURRED AT 10:00 PM                  |
| FUNERAL DIRECTOR                      | Burial [X], Removal [ ], Cremation [ ];                    |
| Place:                                | Colosse Baptist Church Cemetery, Isle of Wight, Virginia   |
| FUNERAL DIRECTOR NAME                 | W.H. Holland & Sons, Franklin, Va.                         |
| REGISTRAR SIGNATURE                   | Ruth E. Spivey                                             |
| Date Filed                            | 6/12/1964                                                  |
|----------------------------------------------------------------------------------------------------|

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