Death Certificate of Butler, Susie R

  
Susie R. Butler, age 81, born 8 May 1894 in Virginia to Elijah Holland and Sallie Hedgebeth, resided at 3125 Deerpath Rd., Suffolk, Virginia. She was widowed, spouse Vernon Vasper Butler. She died 13 Jan 1976 at Nansemond Convalescent Center, Suffolk, Virginia. Cause of death was cardiac collapse due to severe choking attack and arteriosclerotic heart disease.

  
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| Field                                       | Value                                            |
|---------------------------------------------|--------------------------------------------------|
| Registration Area Number                    | 227                                              |
| Certificate Number                          | 13                                               |
| State File Number                           | 76-001076                                        |
| Full Name of Deceased                       | Susie R. Butler                                  |
| Sex                                         | Female                                           |
| Date of Death                               | 13 Jan 1976                                      |
| Age at Death                                | 81                                               |
| Color or Race                               | White                                            |
| Name of Hospital or Institution             | Nansemond Convalescent Center                    |
| County of Death                             | Suffolk                                          |
| City or Town of Death                       | Suffolk                                          |
| Place of Death                              | Convalescent Center                              |
| State of Residence                          | Virginia                                         |
| County of Residence                         | Suffolk                                          |
| City or Town of Residence                   | Suffolk                                          |
| Street Address of Residence                 | 3125 Deerpath Rd.                                |
| Zip Code of Residence                       | 23434                                            |
| Name of Father                              | Elijah Holland                                   |
| Maiden Name of Mother                       | Sallie Hedgebeth                                 |
| Country of Birth                            | U.S.A.                                           |
| Marital Status                              | Widowed                                          |
| Name of Spouse                              | Vernon Vasper Butler                             |
| Date of Birth                               | 8 May 1894                                       |
| Veteran                                     | No                                               |
| Social Security Number                      | 547-xx-xxxx                                      |
| Usual or Last Occupation                    | Housewife                                        |
| Kind of Business or Industry                | No Industry                                      |
| Informant or Source of Information          | Horace D. Butler                                 |
| Immediate Cause of Death                    | Cardiac Collapse                                 |
| Due to (1)                                  | Severe choking attack                            |
| Due to (2)                                  | Arteriosclerotic Heart Disease                   |
| Other Significant Conditions                | Acute occlusion of heart vessels                 |
| Autopsy                                     | No                                               |
| Interval (Cardiac collapse)                 | Sudden                                           |
| Interval (Severe choking attack)            | Sudden                                           |
| Interval (Arteriosclerotic heart disease)   | Several years                                    |
| Interval (Acute occlusion of heart vessels) | Several years                                    |
| Pregnancy in last 3 months                  | No                                               |
| External Causes                             | None                                             |
| Date of Injury                              | Not applicable                                   |
| Place of Injury                             | Not applicable                                   |
| Time of Injury                              | Not applicable                                   |
| Certifying Physician                        | E. C. Joyner, M.D.                               |
| Date Signed by Physician                    | 9 Jan 1976                                       |
| Time of Death                               | 6:30 PM                                          |
| Funeral Director                            | Sidney F. Harrell                                |
| Name and Address of Funeral Home            | Sidney F. Harrell Funeral Home, Suffolk,Virginia |
| Place of Burial or Removal                  | Holly Lawn Cemetery, Suffolk, Virginia           |
| Date of Burial                              |                                                  |
| Registrar                                   | Peggy S Pierce                                   |
| Date Record Filed                           | 15 Jan 1976                                      |
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