Death Certificate of Gurley E Corbitt

Gurley E. Corbitt, 48, died on 10 Dec 1963 in Portsmouth from carcinoma
of the lung. A resident of 620 Potomac Avenue, he was married to Rose B.
Corbitt and was buried on at Holland Cemetery, Holland, Virginia.

Mr. Corbitt was born in Virginia on 2 Aug 1915 to Robert Lee Corbitt and
Nannie Rebecca Carr. He was a carpenter by trade, a citizen of the USA,
and died at Portsmouth General Hospital. His usual residence was 620
Potomac Avenue, Portsmouth.

|---------------------------------------------------------------------------------------------|
| Field                                      | Value                                          |
|--------------------------------------------|------------------------------------------------|
| Registration Area No.                      | 22d                                            |
| Certificate Number                         | 1162                                           |
| State File Number                          | 33675                                          |
| NAME OF DECEASED                           | GURLEY E. CORBITT                              |
| SEX                                        | Male                                           |
| DATE OF DEATH                              | Dec. 10th, 1963                                |
| AGE OF DECEASED                            | 48 Years                                       |
| IF UNDER 1 YEAR Age (months)               | ___ , ___                                      |
| COLOR OR RACE                              | White                                          |
| NAME OF HOSPITAL OR INSTITUTION            | Portsmouth General Hospital                    |
| CITY OR TOWN                               | Portsmouth                                     |
| STATE OF FOREIGN COUNTRY                   | Virginia                                       |
| NO. OF PLACE OF DEATH                      | 900 Block of Leckie Street                     |
| COUNTY OF DECEASED                         | Portsmouth                                     |
| STATE                                      | Virginia                                       |
| COUNTY                                     | Portsmouth                                     |
| ADDRESS                                    | 620 Potomac Avenue                             |
| NAME OF FATHER OF DECEASED                 | Robert Lee Corbitt                             |
| MAIDEN NAME OF MOTHER OF DECEASED          | Nannie Rebecca Carr                            |
| CITIZEN OF WHAT COUNTRY                    | USA                                            |
| MARITAL STATUS                             | Married                                        |
| NAME OF SPOUSE                             | Rose B. Corbitt                                |
| BIRTHPLACE OF DECEASED                     | Virginia                                       |
| DATE OF BIRTH OF DECEASED                  | August 2nd, 1915                               |
| URUAL OR LAST OCCUPATION                   | Carpenter                                      |
| INDUSTRY                                   | -                                              |
| NAME OF INFORMANT                          | Mrs. Rose B. Corbitt                           |
| ADDRESS OF INFORMANT                       | 620 Potomac Avenue                             |
| 25. IMMEDIATE CAUSE OF DEATH               | Carcinoma, Lung                                |
| 25. DUE TO                                 | -                                              |
| Interval between onset and death           | 1621 days                                      |
| 26. AUTOPSY                                | Yes                                            |
| 27. WAS THERE A PREGNANCY IN LAST YEAR?    | No                                             |
| 28. IF EXTERNAL CAUSE                      | -                                              |
| 28a. PLACE OF INJURY                       | -                                              |
| 28b. HOW INJURY OCCURRED                   | -                                              |
| 29. REMOVAL                                | -                                              |
| 29. CREMATION                              | -                                              |
| 29. PLACE                                  | Holland Cemetery                               |
| 29. NAME OF FUNERAL HOME                   | B.W. Foster Funeral Home, Portsmouth, Virginia |
| SIGNATURE AND DATE                         | Oscar F. Foster Dec. 11, 63                    |
| REGISTRAR                                  | Hope D. Wilkins 12-13-63                          |
| PHYSICIAN'S CERTIFICATION FROM             | Aug 63 TO 12-10-63                             |
| PHYSICIAN'S CERTIFICATION LAST SEEN        | 12/10/63                                       |
| Time                                       | 2:30 P.M.                                      |
| ACTUAL SIGNATURE                           | W. B. Pope Jr., M.D.                           |
| PLACE OF CERTIFICATION                     | Portsmouth, VA                                 |
| Date Signed                                | 12/13/63                                       |
| Medical Certification modified from query. | 12/13/64                                       |
|---------------------------------------------------------------------------------------------|

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