Death Certificate of Lloyd McLane Beale

Lloyd McLane Beale, age 59, died on 24 Nov 1986 at Medical Center
Hospitals, Norfolk, Virginia, from open head injury and multiple trauma
due to an auto accident. He was born on 1 Oct 1927 in Virginia to John
E. Beale, Sr. and Martha McLane. He resided at 512 Walnut Street,
Franklin, Virginia. He was married to Doris Carr Beale.

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| Field                                         | Value                                    |
|-----------------------------------------------|------------------------------------------|
| REGISTRATION DISTRICT NO.                     | 217                                      |
| CERTIFICATE NUMBER                            | 2706                                     |
| STATE FILE NUMBER                             | 86-040295                                |
| 1. FULL NAME OF DECEASED                      | Lloyd McLane Beale                       |
| 2. SEX                                        | Male                                     |
| 3. RACE                                       | White                                    |
| 4. DATE OF DEATH                              | Nov. 24, 1986                            |
| 5. AGE                                        | 59                                       |
| 6. DATE OF BIRTH                              | Oct. 1, 1927                             |
| 7. PLACE OF DEATH                             | Medical Center Hospitals                 |
| 05 1                                          | (next to PLACE OF DEATH)                 |
| 8. CITY OR TOWN OF DEATH                      | Norfolk                                  |
| 9. COUNTY OF DEATH                            | [Blank]                                  |
| 10. ADDRESS                                   | 600 Gresham Drive                        |
| 11. USUAL RESIDENCE OF DECEDENT               | 512 Walnut Street                        |
| 233                                           | (next to USUAL RESIDENCE OF DECEDENT)    |
| 12. RESIDENCE: CITY/TOWN                      | Franklin                                 |
| 13. RESIDENCE: COUNTY                         | [Blank]                                  |
| 14. RESIDENCE: STATE                          | Virginia                                 |
| 15. ZIP CODE                                  | 23851                                    |
| 16. NAME OF FATHER OF DECEASED                | John E. Beale, Sr.                       |
| 17. CITIZEN OF WHAT COUNTRY                   | U.S.A.                                   |
| 18. BIRTHPLACE (State or country)             | Virginia                                 |
| 19. NEVER MARRIED                             | [Unchecked]                              |
| 20. DIVORCED                                  | [Unchecked]                              |
| 21. SPOUSE:                                   | Wife—Doris Carr Beale                    |
| 22. MAIDEN NAME OF MOTHER OF DECEASED         | Martha McLane                            |
| 23. USUAL OCCUPATION                          | Senior Truck Driver                      |
| 24. KIND OF BUSINESS OR INDUSTRY              | Suffolk Chemical Corp.                   |
| 25. INFORMANT OR SOURCE OF INFORMATION        | Wife—Doris Carr Beale                    |
| 26a. Immediate cause                          | open head injury / multiple trauma       |
| 26b. Due to (or as a consequence of)          | auto accident                            |
| 27. PREGNANCY IN PAST 3 MONTHS?               | [Blank]                                  |
| 28. IF INJURY, DESCRIBE HOW INJURY OCCURRED   | Driver of truck who lost control         |
| 29. PLACE OF INJURY                           | Highway I64, Chesapeake, VA              |
| 30. INJURY OCCURRED                           | 11/24/86                                 |
| 31. TIME OF INJURY                            | 11:32 AM                                 |
| 32. AUTOPSY                                   | Yes [X]                                  |
| 33. AUTOPSY AUTHORIZED BY                     | [Blank]                                  |
| 34. MEDICAL EXAMINER                          | Richard T. Cullen, M.D.                  |
| 35. DATE SIGNED                               | 11/24/86                                 |
| 36. PLACE OF SIGNING                          | Norfolk, VA                              |
| 37. BURIAL, REMOVAL, CREMATION                | Burial [X]                               |
| 38. PLACE OF BURIAL OR REMOVAL                | Poplar Spring Cemetery, Franklin, VA     |
| 39. NAME OF FUNERAL HOME                      | WRIGHT FUNERAL HOME                      |
| 40. ADDRESS OF FUNERAL HOME                   | 206 W. Fourth Ave., Franklin, VA         |
| 41. REGISTRAR                                 | William B. Wright                        |
| 42. DATE FILED                                | Dec. 2, 1986                             |
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