Death Certificate of Bessie Underwood Ashley

Bessie Underwood Ashley, 82, died on 10 Dec 1983 in Petersburg from
cardiorespiratory failure due to metastatic cancer. A resident of
Smithfield, she was married to Stephen Ashley and was buried at Old St.
Luke's Cemetery, Smithfield, Virginia.

Mrs. Ashley was born on 25 Dec 1900 in Virginia to Cad Underwood and
Irene Bassett. She was a homemaker and U.S. citizen, residing at 505
Jordan Avenue, Smithfield, Virginia. She died as an inpatient at Hiram
W. Davis Medical Center.

|-------------------------------|-----------------------------------------------|
| Field                         | Value                                         |
|-------------------------------|-----------------------------------------------|
| REGISTRATION AREA NUMBER      | 126                                           |
| CERTIFICATE NUMBER            | 108                                           |
| STATE FILE NUMBER             | 83-040312                                     |
| 1. NAME OF DECEASED           | Bessie Underwood Ashley                       |
| 2. DATE OF DEATH              | December 10, 1983                             |
| 3. SEX                        | F                                             |
| 4. IF UNDER 1 YEAR            | (blank)                                       |
| 5. IF UNDER 1 DAY             | (blank)                                       |
| 6. DATE OF BIRTH              | December 25, 1900                             |
| 7. AGE                        | 82                                            |
| 8. RACE                       | White                                         |
| 21. City or Town              | Petersburg                                    |
| 21a. Hospital/Place of Death  | Hiram W. Davis Medical Center                 |
| 21b. County/City, Town        | Dinwiddie                                     |
| 22. State or foreign country  | Virginia                                      |
| 23. County or city, Town      | Isle of Wight                                 |
| 24. City or town/location     | Smithfield                                    |
| 25. address                   | 505 Jordan Avenue                             |
| ZIP CODE                      | 23430                                         |
| 546. Father of deceased       | Cad Underwood                                 |
| 547. Mother of deceased       | Irene Bassett                                 |
| 3. Citizen of what country    | U.S.A.                                        |
| 18. Birthplace                | Virginia                                      |
| 19. Last occupation           | Homemaker                                     |
| 20. Business or industry      | Own Home                                      |
| 12. Marital status            | Widowed                                       |
| SPOUSE:                       | Stephen Ashley                                |
| 19a. Informant                | A. Sidney Underwood “Brother”                 |
| Address                       | via Colonial Funeral Home                     |
| 22. FUNERAL DIRECTOR NAME     | Tiller & Smith Funeral Home                   |
| 26. CAUSE OF DEATH            | Cardiorespiratory Failure                     |
| 26. Due to or as consequence  | Metastatic Cancer to the Mesentery (1 Year)   |
| 26. Due to or as consequence  | Cachexia (Due to B above) (2 Months)          |
| PART II. OTHER CONDITIONS     | Gastro-intestinal bleeding & feeding problem  |
|--                             | due to Hiatal Hernia, Constipation,           |
|--                             | Arteriosclerotic Cardiovascular Disease,      |
|--                             | Hypertension                                  |
| 24. AUTOPSY                   | No                                            |
| 25. Time of death             | 11:00                                         |
| 26. Place of death            | Hiram W. Davis Medical Center                 |
| 26a. Death in hospital?       | Yes, Inpatient                                |
| 27. BURIAL/REMOVAL/CREMATION  | Burial                                        |
| 28. Place                     | Old St. Luke's Cemetery, Smithfield, Virginia |
| Signature attending physician | Lac K, Le, M.D.                               |
| Date signed                   | December 13, 1983                             |
| REGISTRAR SIGNATURE           | Howard F. M. [initials/signature]             |
| Date record filed             | 12/16/83                                      |
| Deputy                        | Howard C. Welles                              |
| FUNERAL DIRECTOR NAME         | Tiller & Smith Funeral Home                   |
| To PHYSICIAN                  | See cause of death                            |
|-------------------------------|-----------------------------------------------|

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