Death Certificate of Mamie Edith Wyatt Butler

Mamie Edith Wyatt Butler died on 28 Apr 1965 in Suffolk, Nansemond
County, Virginia, aged 77. The cause of death was cerebral thrombosis
due to arteriosclerosis. She was a widow, her spouse was Norman Oscar
Butler. Born 24 Feb 1888 in Nansemond County to James I. Wyatt and Polly
Holland, she resided at Rt 3 Box 815, Suffolk.

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| Field                                                    | Value                                   |
|----------------------------------------------------------|-----------------------------------------|
| REGISTRATION AREA NUMBER                                 | 161                                     |
| CERTIFICATE NUMBER                                       | 49                                      |
| STATE FILE NUMBER                                        | 12118                                   |
| FULL NAME OF DECEASED                                    | Mamie Edith Wyatt Butler                |
| 1. DATE OF DEATH                                         | 4 28 65                                 |
| 2. AGE                                                   | 77                                      |
| 3. IF UNDER 1 YEAR — Months                              | [blank]                                 |
| 3. IF UNDER 1 YEAR — Days                                | [blank]                                 |
| 4. COLOR OR RACE                                         | White                                   |
| 5. SEX                                                   | Female                                  |
| NAME OF HOSPITAL OR INSTITUTION OF DEATH                 | None                                    |
| CITY OR TOWN                                             | Suffolk                                 |
| COUNTY OF DEATH                                          | Nansemond Co                            |
| ADDRESS                                                  | Rt 3 Box 815                            |
| RESIDENCE: STATE                                         | Virginia                                |
| RESIDENCE: COUNTY                                        | Suffolk                                 |
| RESIDENCE: CITY/TOWN                                     | Suffolk                                 |
| ADDRESS                                                  | Rt 3 Box 815                            |
| NAME OF FATHER OF DECEASED                               | James I. Wyatt                          |
| NAME OF MOTHER OF DECEASED                               | Polly Holland                           |
| WHAT COUNTRY                                             | U.S.A.                                  |
| IS MARRIED OR WIDOWED                                    | Widow                                   |
| NAME OF SPOUSE                                           | Norman Oscar Butler                     |
| BIRTHPLACE OF DECEASED                                   | Nansemond Co. Va.                       |
| DATE OF BIRTH                                            | Feb. 24 1888                            |
| USUAL OCCUPATION                                         | Housewife                               |
| KIND OF BUSINESS OR INDUSTRY                             | [blank]                                 |
| INFORMANT OR SOURCE                                      | Norman O. Butler, Suffolk, Va.          |
| PART I. DEATH WAS CAUSED BY                              |                                         |
| IMMEDIATE CAUSE                                          | cerebral thrombosis                     |
| CONDITION if any, which gave rise to immediate cause     | arteriosclerosis                        |
| PART II. OTHER SIGNIFICANT CONDITIONS                    | 331                                     |
| INTERVAL BETWEEN ONSET AND DEATH (B), and (C)) For (A)   | hours                                   |
| INTERVAL BETWEEN ONSET AND DEATH For arteriosclerosis    | years                                   |
| 26a. AUTOPSY AUTHORIZED                                  | No                                      |
| pregnancy in the last 3 months                           | [no mark]                               |
| EXTERNAL CAUSE                                           | [unchecked]                             | | | |
| DESCRIBE HOW INJURY OCCURRED                             | [blank]                                 |
| PRIMARY CAUSE OF CONTRIBUTING INJURY                     | [blank]                                 |
| PLACE OF INJURY                                          | [blank]                                 |
| COUNTY                                                   | [blank]                                 |
| TIME OF INJURY                                           | [blank]                                 |
| DATE OF INJURY                                           | [blank]                                 |
| AUTOPSY BY COUNTY                                        | [blank]                                 |
| DATE SIGNED                                              | 4/28/65                                 |
| SIGNATURE OF MEDICAL EXAMINER                            | [illegible]         ]                   |
| ACTUAL BURIAL, CREMATION, REMOVAL                        | Burial                                  |
| PLACE OF DISPOSITION                                     | Copeland Family Cem'ty. Nansemond Va.   |
| DATE                                                     | 4-29-65                                 |
| FUNERAL DIRECTOR                                         | J. O. Hill & Co. Suffolk, Va.           |
| Filed                                                    | 4-29-65                                 |
| Registrar                                                | Esther L. Harrell                       |
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