Death Certificate of Eugene M Carr

Eugene M. Carr, 66, died on 23 Feb 1993 in Suffolk. Cause of death is
illegible. A resident of Windsor, he was married to Mary Virginia Carr
and was buried on at Colosse Baptist Church Cemetery, Windsor, VA.

Mr. Carr was born on 18 Jun 1926 in Virginia, the son of John T. Carr
and Lillie Winborne. He was White, a retired mechanic for J. W.
Lassiter, Inc., resided at 25101 Knoxville Road, Windsor, Isle of Wight
County. No military service was noted.

|---------------------------------------------------------------------------------------------------|
| Field                                              | Value                                        |
|----------------------------------------------------|----------------------------------------------|
| REGISTRATION AREA NUMBER                           | 227                                          |
| CERTIFICATE NUMBER                                 | 79                                           |
| STATE FILE NUMBER                                  | 93-007494                                    |
| 1. FULL NAME OF DECEDENT                           | Eugene M. Carr                               |
| 2. SEX                                             | M                                            |
| 3. DATE OF DEATH                                   | Feb. 23, 1993                                |
| 4. AGE                                             | 66                                           |
| 7. DATE OF BIRTH                                   | June 18, 1926                                |
| 8. WAS DECEDENT EVER IN U.S. ARMED FORCES          | No                                           |
| 9. NAME OF HOSPITAL OR INSTITUTION OF DEATH        | Louise Obici Memorial Hospital               |
| 10. CITY OR TOWN OF DEATH                          | Suffolk                                      |
| 11. COUNTY OF DEATH                                | Suffolk                                      |
| 12. ADDRESS                                        | 1900 North Main Street                       |
| 13. RESIDENCE: STATE                               | Virginia                                     |
| 14. RESIDENCE: COUNTY                              | Isle of Wight                                |
| 15. RESIDENCE: CITY/TOWN                           | Windsor                                      |
| 16. ADDRESS                                        | 25101 Knoxville Road                         |
| 17. ZIP CODE                                       | 23487                                        |
| 18. NAME OF DECEDENT'S FATHER                      | John T. Carr                                 |
| 19. MAIDEN NAME OF DECEDENT'S MOTHER               | Lillie Winborne                              |
| 20. RACE OF DECEDENT                               | White                                        |
| 21. CITIZEN OF WHAT COUNTRY                        | U.S.A.                                       |
| 22. BIRTHPLACE                                     | Virginia                                     |
| 23. EDUCATION                                      | High School Graduate                         |
| 24. SOCIAL SECURITY NUMBER                         | -                                            |
| 25. USUAL OR LAST OCCUPATION                       | Ret. Mechanic                                |
| 26. KIND OF BUSINESS OR INDUSTRY                   | J. W. Lassiter, Inc.                         |
| 27. NAME OF SURVIVING SPOUSE                       | Mary Virginia Carr                           |
| 28. INFORMANT OR SOURCE OF INFORMATION             | Wife                                         |
| PART I Immediate Cause of Death                    | Cardiopulmonary arrest                       |
| PART I Immediate Cause of Death                    | Cardiac arrhythmia                           |
| PART I Immediate Cause of Death                    | Coronary artery disease                      |
| PART II OTHER SIGNIFICANT CONDITIONS               | Diabetes mellitus                            |
| PREGNANCY IN PAST 3 MONTHS?                        | Unknown                                      |
| 35. HOMICIDE  | SUICIDE  | ACCIDENT                | none checked                                 |
| 36. DESCRIBE HOW INJURY RELATING TO DEATH OCCURRED | -                                            |
| 37. DATE INJURY OCCURRED                           | -                                            |
| 38. PLACE OF INJURY                                | -                                            |
| 39. LOCATION                                       | -                                            |
| 40. AT WORK                                        | No                                           |
| 41. TO THE BEST OF MY KNOWLEDGE...                 | -                                            |
| SIGNATURE OF ATTENDING PHYSICIAN                   | Dr. J. Williams                              |
| DATE SIGNED                                        | 2/23/93                                      |
| ADDRESS OF ATTENDING PHYSICIAN                     | 1890 North Main St., Suffolk, VA 23434       |
| NAME OF FUNERAL EST.                               | Sidney F. Harrell Funeral Home               |
| ADDRESS                                            | Suffolk, VA 23434                            |
| PLACE OF BURIAL OR CREMATION                       | Colosse Baptist Church Cemetery, Windsor, VA |
| DATE FILED                                         | Feb. 26, 1993                                |
| REGISTRAR                                          | -                                            |
| RESERVED FOR REGISTRAR'S USE                       | -                                            |
|---------------------------------------------------------------------------------------------------|

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