Death Certificate of Willard Beale, Sr

Willard Beale, Sr., 81, died on 22 Aug 1986 in Franklin from
intra-cerebral metastasis due to oat cell cancer of the lung and COOPD, ASCVD
and angina. A resident of Franklin, he was widowed and widow of Beulah D.
Beale and was buried at Southampton Memorial Park, County, VA.

Mr Beale was born in the Virginia on 8 May 1905, son of Bogue Beale and
Mary Wills. His usual occupation was owner of Beale's Garage in
Franklin. No autopsy was performed. 

|------------------------------------------------------------------------------------------|
| Field                                             | Value                                |
|---------------------------------------------------|--------------------------------------|
| REGISTRATION AREA NUMBER                          | 233                                  |
| CERTIFICATE NUMBER                                | 119                                  |
| STATE FILE NUMBER                                 | 86-028882                            |
| FULL NAME OF DECEDENT                             | Willard Beale, Sr.                   |
| SEX                                               | Male                                 |
| RACE                                              | White                                |
| DATE OF DEATH                                     | Aug. 22, 1986                        |
| AGE                                               | 81                                   |
| DATE OF BIRTH                                     | May 8, 1905                          |
| HOSPITAL INSTITUTION OF DEATH                     | Southampton Memorial Hospital        |
| CITY OR TOWN OF DEATH                             | Franklin                             |
| ADDRESS                                           | 1000 Fairview Drive                  |
| USUAL RESIDENCE OF DECEDENT                       | Virginia                             |
| RESIDENCE: CITY/TOWN                              | Franklin                             |
| ADDRESS                                           | 608 N. High Street                   |
| ZIP CODE                                          | 23851                                |
| NAME OF FATHER OF DECEASED                        | Bogue Beale                          |
| MAIDEN NAME OF MOTHER OF DECEASED                 | Mary Wills                           |
| PERSONAL DATA OF DECEDENT: SOCIAL SECURITY NUMBER | 5467 21                              |
| PERSONAL DATA OF DECEDENT: BIRTHPLACE             | U.S.A.                               |
| PERSONAL DATA OF DECEDENT: RESIDENCE              | Virginia                             |
| MARITAL STATUS                                    | Widowed                              |
| NAME OF SURVIVING SPOUSE                          | Beulah D. Beale                      |
| USUAL LAST OCCUPATION                             | Owner(Ret.) Beale's Garage           |
| NAME OF BUSINESS OR INDUSTRY                      | Beale's Garage                       |
| IMMEDIATE CAUSE OF DEATH                          | INTRA-CEREBRAL METASTASIS            |
| CAUSE: CONSEQUENCE                                | OAT CELL CA OF THE LUNG              |
| CONTRIBUTING CONDITIONS                           | ASCVD ANGINA                         |
| AUTOPSY                                           | No                                   |
| AUTOPSY AUTHORIZED BY                             | No                                   |
| MANNER OF DEATH                                   | Natural                              |
| DATE OF DEATH OCCURRED                            | approx 12:30 a.m.                    |
| NAME OF ATTENDING PHYSICIAN                       | Daniel K. Peak, Jr., M.D.            |
| ADDRESS OF ATTENDING PHYSICIAN                    | P.O. Box 755 Franklin VA             |
| DATE SIGNED BY PHYSICIAN                          | 8/25/86                              |
| BURIAL, REMOVAL OR CREMATION                      | Southampton Memorial Park, County VA |
| FUNERAL HOME NAME                                 | WRIGHT FUNERAL HOME                  |
| ADDRESS OF FUNERAL HOME                           | 206 W. Fourth Ave., Franklin, VA     |
| REGISTRAR                                         | William B. Wright                    |
| DATE FILED                                        | 8/21/86                              |
|------------------------------------------------------------------------------------------|

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