Death Certificate of Bailey, John Earl

# Narrative Summary

John Earl Bailey was born on 07 Aug 1913 in Norfolk, VA to John Robert
Bailey and Eva Bonney Bailey. He died on 22 Jan 1986 at Louise Obici
Hospital in Suffolk, VA at age 72. The cause of death was respiratory
arrest due to pulmonary interstitial edema and hypoproteinemia resulting
from metastatic colon carcinoma. He was a rural mail carrier for the
U.S. Postal Service. John was married to A. Betty Bailey.

------------------------------------------------------------------------

| ID    | Section                | Field Description                                     | Value                                                |
|-------|------------------------|-------------------------------------------------------|------------------------------------------------------|
| 1     | Decedent               | Full Name of Deceased                                 | John Earl Bailey                                     |
| 2     | Decedent               | Date of Death                                         | Jan 22, 1986                                         |
| 3     | Decedent               | Age at Death                                          | 72                                                   |
| 4     | Decedent               | Date of Birth                                         | Aug 7, 1913                                          |
| 5     | Decedent               | Sex                                                   | Male                                                 |
| 6     | Decedent               | Race                                                  | White                                                |
| 7     | Place of Death         | Name of Hospital or Institution                       | Louise Obici                                         |
| 8     | Place of Death         | County or City of Death                               | Suffolk                                              |
| 9     | Place of Death         | Inside City or Town Limits?                           | Yes                                                  |
| 10    | Place of Death         | Street Address                                        | Service Road                                         |
| 11    | Usual Residence        | State                                                 | VA                                                   |
| 12    | Usual Residence        | County                                                | Southampton                                          |
| 13    | Usual Residence        | City or Town                                          | Ivor                                                 |
| 14    | Usual Residence        | Inside City or Town Limits?                           | Yes                                                  |
| 15    | Usual Residence        | Street Address                                        | Bulls Dr.                                            |
| 16    | Usual Residence        | Zip Code                                              | 23866                                                |
| 17    | Personal Data          | Father’s Name                                         | John Robert Bailey                                   |
| 18    | Personal Data          | Mother’s Maiden Name                                  | Eva Bonney Bailey                                    |
| 19    | Personal Data          | Citizen of What Country                               | USA                                                  |
| 20    | Personal Data          | Birthplace                                            | Norfolk, VA                                          |
| 21    | Personal Data          | Marital Status                                        | Married                                              |
| 22    | Personal Data          | Name of Spouse                                        | A. Betty Bailey                                      |
| 23    | Personal Data          | Usual Occupation                                      | Rural Mail Carrier                                   |
| 24    | Personal Data          | Kind of Business/Industry                             | U.S. Postal Service                                  |
| 25    | Personal Data          | Informant                                             | Anne Betty Bailey                                    |
| 26    | Cause of Death         | Immediate Cause (Part I)                              | Respiratory Arrest                                   |
| 27    | Cause of Death         | Due to (or as a consequence of)                       | Pulmonary Interstitial Edema                         |
| 28    | Cause of Death         | Due to (or as a consequence of)                       | Hypoproteinemia due to Metastatic to Colon Carcinoma |
| 29    | Cause of Death         | Interval between onset and death (Respiratory Arrest) | Minutes                                              |
| 30    | Cause of Death         | Interval between onset and death (Pulmonary Edema)    | 2 months                                             |
| 31    | Cause of Death         | Interval between onset and death (Hypoproteinemia)    | 2 years                                              |
| 32    | Medical Certification  | Date of Death                                         | 1-22-86                                              |
| 33    | Medical Certification  | Time of Death                                         | 1:15                                                 |
| 34    | Medical Certification  | Attending Physician                                   | E. Mahon, MD                                         |
| 35    | Medical Certification  | Date Signed                                           | 1-22-86                                              |
| 36    | Medical Certification  | Place of Death                                        | Ivor Medcenter, Ivor, VA                             |
| 37    | Funeral Director       | Name of Funeral Home                                  | Purviance Funeral Home                               |
| 38    | Funeral Director       | Location of Funeral Home                              | Ivor, VA                                             |
| 39    | Funeral Director       | Burial, Cremation, Removal, or Other                  | Burial                                               |
| 40    | Funeral Director       | Place of Disposition                                  | Ivor                                                 |
| 41    | Funeral Director       | Date of Disposition                                   | 1/24/86                                              |
| 42    | Registrar              | Registrar Signature                                   | Anne M. Sepp                                         |
| 43    | Registrar              | Date Filed                                            | 01/27/86                                             |
| 44    | Registrar              | Date Copy to Funeral Director                         | 1/28/86                                              |
| 45    | Certificate            | State File Number                                     | 86-003133                                            |
| 46    | Certificate            | Registration Area Number                              | 227                                                  |
| 47    | Certificate            | Certificate Number                                    | 28                                                   |