Death Certificate of Benjamin Hubert Beale

Benjamin Hubert Beale, 87, died on 3 Jul 1998 in Franklin from
congestive heart failure due to chronic renal failure. A resident of
Courtland, he was married to Lena Moore Beale and was buried on 7 Jul
1998 at Poplar Spring Cemetery, Franklin.

Mr. Beale was born on 2 May 1911 in Virginia and was President, H. P.
Beale & Sons, a processing and meat packing company. He was White,
educated through grade 11, and the son of Hugh Patrick Beale and Roberta
Wellons. His death occurred at Southampton Memorial Hospital, Franklin,
Virginia.

|---------------------------------------------------|---------------------------------------------------|
| Field                                             | Value                                             |
|---------------------------------------------------|---------------------------------------------------|
| REGISTRATION AREA NUMBER                          | 233                                               |
| CERTIFICATE NUMBER                                | 105                                               |
| STATE FILE NUMBER                                 | 98-027401                                         |
| 1. FULL NAME OF DECEDENT                          | Benjamin Hubert Beale                             |
| 2. DATE OF DEATH                                  | July 3, 1998                                      |
| 3. AGE                                            | 87                                                |
| 4. IF UNDER 1 YEAR:(days)                         | -                                                 |
| 5. DATE OF BIRTH                                  | May 2, 1911                                       |
| 6. SEX                                            | M                                                 |
| 7. EVER MARRIED                                   | X                                                 |
| 8. NAME OF HOSPITAL OR INSTITUTION OF DEATH       | Southampton Memorial Hospital                     |
| 9. CITY OR TOWN OF DEATH                          | Franklin                                          |
| 10. COUNTY OF DEATH                               | Franklin                                          |
| 11. ADDRESS                                       | 100 Fairview Drive                                |
| 12. RESIDENCE: STATE                              | Virginia                                          |
| 13. RESIDENCE: CITY/TOWN                          | Courtland                                         |
| 14. RESIDENCE: COUNTY                             | Southampton                                       |
| 15. ADDRESS                                       | 16247 Ivor Road                                   |
| 16. ZIP CODE                                      | 23837                                             |
| 15. NAME OF DECEDENT'S FATHER                     | Hugh Patrick Beale                                |
| 16. MAIDEN NAME OF DECEDENT'S MOTHER              | Roberta Wellons                                   |
| 17. RACE OF DECEDENT                              | White                                             |
| 18. EDUCATION                                     | 11                                                |
| 19. CITIZEN OF WHAT COUNTRY                       | U.S.A.                                            |
| 20. BIRTHPLACE                                    | Virginia                                          |
| 21. SOCIAL SECURITY NUMBER                        | 225-30-3959                                       |
| 22. NEVER MARRIED                                 | □                                                 |
| 23. DIVORCED                                      | □                                                 |
| 24. MARRIED                                       | □                                                 |
| 25. WIDOWED                                       | X                                                 |
| 26. IF MALE AND VETERAN, NAME OF SPOUSE           | Lena Moore Beale                                  |
| 27. USUAL OCCUPATION                              | President, H. P. Beale & Sons                     |
| 28. KIND OF BUSINESS OR INDUSTRY                  | Processing and Meat Packing                       |
| 29. INFORMANT OR SOURCE OF INFORMATION            | Gene Beale - Son                                  |
| 30. IMMEDIATE CAUSE                               | Congestive Heart Failure                          |
| 31. DUE TO                                        | -                                                 |
| 32. DUE TO                                        | -                                                 |
| PART II. OTHER SIGNIFICANT CONDITIONS             | Chronic Renal Failure                             |
| INTERVAL BETWEEN ONSET AND DEATH                  | -                                                 |
| AUTOPSY                                           | YES □  | NO X                                      |
| AUTHORIZED BY                                     | -                                                 |
| A. PREGNANCY IN PAST 3 MONTHS?                    | □ YES □ NO □ UNKNOWN                              |
| B. IF EXTERNAL CAUSE                              | □ HOMICIDE □ SUICIDE □ MVA □ OTHER □ UNDETERMINED |
| C. INJURY OCCURRED                                | -                                                 |
| D. PLACE OF INJURY                                | -                                                 |
| E. CITY                                           | -                                                 |
| F. COUNTY                                         | -                                                 |
| G. DATE OF INJURY                                 | -                                                 |
| H. TIME OF INJURY                                 | 1:55                                              |
| I. DESCRIBE HOW INJURY RELATING TO DEATH OCCURRED | -                                                 |
| SIGNATURE OF ATTENDING PHYSICIAN                  | J. Michael Ponder, MD                             |
| ADDRESS OF ATTENDING PHYSICIAN                    | 102 B. Fairview Dr. Franklin, Va                  |
| DATE SIGNED                                       | 7/7/98                                            |
| BURIAL                                            | X                                                 |
| REMOVAL                                           | □                                                 |
| CREMATION                                         | □                                                 |
| PLACE OF BURIAL, REMOVAL, ETC.                    | Poplar Spring Cemetery                            |
| CITY OR TOWN                                      | Franklin                                          |
| STATE                                             | Virginia                                          |
| NAME OF FUNERAL HOME                              | Wright Funeral Home                               |
| ADDRESS                                           | 206 W. 4th Ave., Franklin VA                      |
| REGISTRAR SIGNATURE                               | William B. Whitehurst                             |
| DATE RECORD FILED                                 | 7-7-98                                            |
|---------------------------------------------------|---------------------------------------------------|

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