Death Certificate of Carr, Willie

# Narrative Summary

Willie Carr was born on 4 Sept 1892 in Virginia to Thomas Carr and Dora
Bradshaw. He was a retired self-employed farmer who married Annie Duck
Carr. Willie died at 5:00 PM on 26 May 1987 at Southampton Memorial
Hospital in Franklin, Virginia at age 94. The causes of death were
cardiopulmonary collapse due to uremia, arteriosclerosis and
hypertension. He was buried at Mt. Carmel Church Cemetery in Isle of
Wight County, Virginia.

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| ID    | Section             | Field Description             | Value                                                 |
|-------|---------------------|-------------------------------|-------------------------------------------------------|
| 1     | Decedent            | Name                          | Willie Carr                                           |
| 2     | Decedent            | Race                          | White                                                 |
| 3     | Decedent            | Sex                           | Male                                                  |
| 4     | Decedent            | Date of Death                 | May 26, 1987                                          |
| 5     | Decedent            | Age                           | 94                                                    |
| 6     | Decedent            | Date of Birth                 | Sept. 4, 1892                                         |
| 7     | Place of Death      | Hospital or Institution Name  | Southampton Memorial Hospital                         |
| 8     | Place of Death      | County of Death               | Franklin                                              |
| 9     | Usual Residence     | State                         | Virginia                                              |
| 10    | Usual Residence     | County                        | Isle of Wight County                                  |
| 11    | Usual Residence     | City or Town                  | Franklin                                              |
| 12    | Usual Residence     | Street Address                | 100 Fairview Drive, Route 1                           |
| 13    | Usual Residence     | ZIP Code                      | 23851                                                 |
| 14    | Personal Data       | Father's Name                 | Thomas Carr                                           |
| 15    | Personal Data       | Mother's Maiden Name          | Dora Bradshaw                                         |
| 16    | Personal Data       | Spouse Name                   | Annie Duck Carr                                       |
| 17    | Personal Data       | Informant                     | Niece Dora Holland                                    |
| 18    | Personal Data       | Citizen of What Country       | USA                                                   |
| 19    | Personal Data       | Birthplace                    | Virginia                                              |
| 20    | Personal Data       | Usual Occupation              | Farmer (Ret), Self-Employed                           |
| 21    | Cause of Death      | Immediate Cause               | Cardiopulmonary Collapse                              |
| 22    | Cause of Death      | Due to                        | Uremia                                                |
| 23    | Cause of Death      | Due to (Underlying)           | Arteriosclerosis & Hypertension                       |
| 24    | Cause of Death      | Time of Death                 | 5:00 PM                                               |
| 25    | Cause of Death      | Date Signed                   | 5/27/87                                               |
| 26    | Cause of Death      | Physician                     | B. M. Goodman, Jr., M.D.                              |
| 27    | Funeral             | Funeral Director              | William B. Wright                                     |
| 28    | Funeral             | Place of Burial               | Mt. Carmel Church Cemetery, Isle of Wight County, VA  |
| 29    | Funeral             | Funeral Home                  | Wright Funeral Home, 206 W. Fourth Ave., Franklin, VA |
| 30    | Registrar           | Registrar                     | Evelyn C. Paupe                                       |
| 31    | Registrar           | Date Filed                    | 6-4-87                                                |