Death Certificate of Milton Littleton Beale

Milton Littleton Beale, age 69, died on 25 Jun 1970 at Maryview
Hospital, Portsmouth, Virginia. Cause of death was COY pulmonary,
pulmonary emphysema and fibrosis, and congestive heart failure. He was
born 28 Nov 1900 in Virginia to William Baker Beale and Emma Holcomb. He
resided in Chesapeake, Virginia, was married to Mamie Williams Beale,
and was a retired supervisor at Ford Motor Co.

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

----------------------------------------------------------------------------------------------------
| Field                                             | Value                                        |
|---------------------------------------------------|----------------------------------------------|
| REGISTRATION AREA NUMBER                          | 22                                           |
| CERTIFICATE NUMBER                                | 714                                          |
| STATE FILE NUMBER                                 | 70 017466                                    |
| 1. FULL NAME OF DECEASED                          | MILTON LITTLETON BEALE                       |
| 2. SEX                                            | MALE                                         |
| 3. DATE OF DEATH                                  | JUNE 25, 1970                                |
| 4. AGE OF DECEASED                                | 69                                           |
| 5. COLOR OR RACE                                  | WHITE                                        |
| 6. NAME OF HOSPITAL OR INSTITUTION OF DEATH       | MARYVIEW HOSPITAL                            |
| 7. COUNTY OF DEATH                                | [blank]                                      |
| 8. CITY OR TOWN OF DEATH                          | PORTSMOUTH 23707                             |
| 9. ADDRESS                                        | 3636 HIGH STREET                             |
| 10. RESIDENCE: STATE                              | VIRGINIA                                     |
| 11. RESIDENCE: COUNTY                             | [blank]                                      |
| 12. RESIDENCE: CITY/TOWN                          | CHESAPEAKE                                   |
| 13. ADDRESS                                       | 3924 WEDGEWOOD CIRCLE                        |
| ZIP CODE                                          | 23321                                        |
| 14. NAME OF FATHER OF DECEASED                    | WILLIAM BAKER BEALE                          |
| 15. MAIDEN NAME OF MOTHER OF DECEASED             | EMMA HOLCOMB                                 |
| 16. DECEASED CITIZEN OF WHAT COUNTRY              | USA                                          |
| 17. MARRIED                                       | X                                            |
| 17. NEVER MARRIED                                 | [blank]                                      |
| 17. WIDOWED                                       | [blank]                                      |
| 17. DIVORCED                                      | [blank]                                      |
| 18. SPOUSE:                                       | MAMIE WILLIAMS BEALE                         |
| 20. VETERAN                                       | [blank]                                      |
| 21. BIRTHPLACE OF DECEASED                        | VIRGINIA                                     |
| 22. DATE OF BIRTH                                 | NOV. 28th, 1900                              |
| 23. USUAL OR LAST OCCUPATION                      | RET. SUPERVISOR                              |
| 24. KIND OF BUSINESS OR INDUSTRY                  | FORD MOTOR CO.                               |
| 25. INFORMANT                                     | MRS. MAMIE W. BEALE                          |
| 26a. CAUSE OF DEATH                               | COY Pulmonary                                |
| 26b. CAUSE OF DEATH                               | Pulm emphysema + fibrosis                    |
| 26c. CAUSE OF DEATH                               | CAD Congestive Heart Failure                 |
| INTERVAL BETWEEN ONSET AND DEATH                  | 1 yr, 10 yrs, 1 month                        |
| 26d. OTHER SIGNIFICANT CONDITIONS                 | [blank]                                      |
| 27. PLACE OF BURIAL                               | OLIVE BRANCH CEMETERY PORTSMOUTH, VIRGINIA   |
| 29. NAME OF FUNERAL HOME                          | B.W. FOSTER FUNERAL HOME                     |
| 30. PLACE OF FUNERAL HOME                         | PORTSMOUTH, VIRGINIA                         |
| 36a. AUTOPSY                                      | X                                            |
| 37. DATE RECORD FILED                             | JUN 26 1970                                  |
| 38. REGISTRAR SIGNATURE                           | H. D. Williams                               |
| TIME OF INJURY OCCURRED                           | 8:58 AM                                      |
| DATE OF INJURY OCCURRED                           | 6-25-70                                      |
| 26. CERTIFY (that I attended the deceased from)   | 9-5-56 to 6-25-70                            |
| 26. ACTUAL SIGNATURE (Physician)                  | H. Muryalyn, M.D. (handwritten)              |
| 26. DATE SIGNED                                   | 6/25/70                                      |
----------------------------------------------------------------------------------------------------