Death Certificate of Davidson, John Roland Jr

John Roland Davidson Jr., son of John Roland Davidson and Delisie
Wolfrey, was born on 13 Mar 1933 in Virginia. He resided at 101
Brandywine Drive, Grafton, Virginia. He died on 25 Aug 1990 at Mary
Immaculate Hospital, Newport News, Virginia, from acute myocardial
infarction due to atherosclerosis. He was widowed; his spouse was Erika
Schussler Davidson.

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| Field                            | Value                                  |
|----------------------------------|----------------------------------------|
| Full Name of Decedent            | John Roland Davidson Jr                |
| Date of Death                    | 25 Aug 1990                            |
| Age                              | 57 years                               |
| Sex                              | Male                                   |
| Date of Birth                    | 13 Mar 1933                            |
| Place of Death - Hospital        | Mary Immaculate                        |
| Place of Death - City/Town       | Newport News                           |
| Place of Death - County          | Denbigh Blvd.                          |
| Usual Residence - State          | Virginia                               |
| Usual Residence - County         | York                                   |
| Usual Residence - City/Town      | Grafton                                |
| Usual Residence - Street Address | 101 Brandywine Drive                   |
| Usual Residence - Zip Code       | 23692                                  |
| Father's Name                    | John Roland Davidson                   |
| Mother's Maiden Name             | Delisie Wolfrey                        |
| Race                             | Cau.                                   |
| Hispanic Origin                  | No                                     |
| Birthplace                       | Virginia, USA                          |
| Citizen of What Country          | USA                                    |
| Marital Status                   | Widowed                                |
| Surviving Spouse                 | Erika Schussler Davidson               |
| Usual Occupation                 | Broker                                 |
| Kind of Business                 | Real Estate                            |
| Informant                        | Erika S. Davidson                      |
| Immediate Cause of Death         | Acute myocardial infarction            |
| Due to or as a consequence of    | Atherosclerosis                        |
| Other Significant Conditions     | Cardiomyopathy                         |
| Time of Death                    | 10:59                                  |
| Attending Physician              | Paul E. Monrad, M.D.                   |
| Date Signed by Physician         | 28 Aug 1990                            |
| Funeral Director                 | [Signature Present]                    |
| Place of Burial                  | Veteran's Memorial Gardens,Hampton,Va. |
| Funeral Home                     | Amory Funeral Home, Inc.               |
| Place of Funeral Home            | Grafton, Va. 23692                     |
| Registrar                        | [Signature Present]                    |
| Date Received for Filing         | 30 Aug 1990                            |
| State File Number                | 90-030226                              |
| Certificate Number               | 1037                                   |
| Registration Area Number         | 216                                    |
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