Death Certificate of Brett, Martha Davis

Martha Davis Brett, age 61, died of carcinomatosis due to adenocarcinoma
of the kidney on 9 Mar 1974 at Riverside, Newport News, Virginia. Born 9
Dec 1912 in North Carolina to Clarence M. Davis and Annie S. Yates, she
was married to John L. Brett and lived at 113 Copeland Lane, York,
Virginia.

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| Field                                             | Value                                       |
|---------------------------------------------------|---------------------------------------------|
| REGISTRATION AREA NUMBER                          | 216                                         |
| CERTIFICATE NUMBER                                | 248                                         |
| STATE FILE NUMBER                                 | 74-007160                                   |
| 1. FULL NAME OF DECEASED                          | Martha Davis Brett                          |
| 2. DATE OF DEATH                                  | March 9, 1974                               |
| 3. AGE OF DECEASED                                | 61 years                                    |
| 4. SEX                                            | Female                                      |
| 5. COLOR OR RACE                                  | White                                       |
| 6. NAME OF HOSPITAL OR INSTITUTION OF DEATH       | Riverside                                   |
| 7. CITY OR TOWN OF DEATH                          | Newport News                                |
| 8. COUNTY OF DEATH                                | (not listed)                                |
| 9. ADDRESS                                        | (not listed)                                |
| 10. PLACE OF DEATH                                | 102                                         |
| 11. RESIDENCE: STATE                              | Virginia                                    |
| 12. RESIDENCE: COUNTY                             | York                                        |
| 13. RESIDENCE: CITY/TOWN                          | 113 Copeland Lane                           |
| 14. ADDRESS                                       | 23692                                       |
| NAME OF FATHER OF DECEASED                        | Clarence M. Davis                           |
| MAIDEN NAME OF MOTHER OF DECEASED                 | Annie S. Yates                              |
| 15. DECEASED CITIZEN OF WHAT COUNTRY              | USA                                         |
| 17. MARRIED, WIDOWED, DIVORCED, NEVER MARRIED     | Married                                     |
| 18. NAME OF SPOUSE                                | John L. Brett                               |
| 19. BIRTHPLACE (STATE OR COUNTRY)                 | North Carolina                              |
| 20. DATE OF BIRTH (MO., DAY, YR.) OF DECEASED     | December 9, 1912                            |
| 23. USUAL OR LAST OCCUPATION                      | Housewife                                   |
| 24. KIND OF BUSINESS OR INDUSTRY                  | (blank)                                     |
| INFORMANT OR SOURCE OF INFORMATION                | John L. Brett                               |
| 26. CAUSE OF DEATH                                | Carcinomatosis                              |
| 26. CAUSE OF DEATH                                | Adenocarcinoma Kidney                       |
| 26. CAUSE OF DEATH                                | (blank)                                     |
| 26. INTERVAL BETWEEN ONSET AND DEATH (A)          | 6 mos                                       |
| 26. PART II. OTHER SIGNIFICANT CONDITIONS         | 1890                                        |
| 27. PREGNANCY IN PAST 3 MONTHS?                   | No                                          |
| 28. EXTERNAL CAUSE                                | (blank)                                     |
| 29. DATE OF INJURY                                | (blank)                                     |
| 30. PLACE OF INJURY                               | (blank)                                     |
| 31. HOUR OF DEATH                                 | 10:00 A.M.                                  |
| 32. I CERTIFY that I attended the deceased from   | 1973 to 1974                                |
| 33. SIGNATURE AND TITLE OF CERTIFYING PHYSICIAN   | R. J. Siedel, M.D.                          |
| 34. DATE SIGNED                                   | 3/9/74                                      |
| 35. NAME AND ADDRESS OF CERTIFYING PHYSICIAN      | (illegible)                                 |
| 36. DATE RECEIVED BY REGISTRAR                    | 3-18-74                                     |
| 37. REGISTRAR SIGNATURE                           | Sylvia B. Miller                            |
| 28. PLACE OF BURIAL, REMOVAL, OR CREMATION        | Parklawn Memorial Park, Hampton, Virginia   |
| 29. NAME OF FUNERAL HOME                          | R. Hayden Smith Funeral Home                |
| 30. ADDRESS OF FUNERAL HOME                       | Hampton, Virginia                           |
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