Death Certificate of Julia A. De Loatch

Julia A. De Loatch, age 67, died of endocarditis with acute indigestion
as a contributing factor on 20 Mar 1922 in Norfolk, Virginia. She was
born 2 May 1866 in Ala, daughter of W. P. Edwards and Mary Edwards of N.C.
Julia was married to W. R. De Loatch and resided at 417 Colley Ave, 
Norfolk for 5 years.

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| Field                                                   | Value                    |
|---------------------------------------------------------|--------------------------|
| 1. PLACE OF DEATH COUNTY OF                             | Norfolk                  |
| 1. PLACE OF DEATH MAGISTERIAL DISTRICT OF               | [blank]                  |
| 1. PLACE OF DEATH OR INC. TOWN OF                       | [blank]                  |
| 1. PLACE OF DEATH CITY OF                               | Norfolk                  |
| 1. PLACE OF DEATH REGISTRATION DISTRICT No.             |                          |
| 1. PLACE OF DEATH REGISTERED No.                        | 6656                     |
| 1. PLACE OF DEATH WARD                                  | [blank]                  |
| 2. FULL NAME                                            | Julia A. De Loatch       |
| 2(a). RESIDENCE                                         | 417 Colley Ave           |
| 2(a). Length of residence:                              | 5 yrs. 0 mos.            |
| 3. SEX                                                  | Female                   |
| 4. COLOR OR RACE                                        | Colored                  |
| 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED                | Married                  |
| 5(a). HUSBAND OF (or) WIFE OF                           | W, R. De Loatch          |
| 6. DATE OF BIRTH                                        | 31 Jul 1854              |
| 7. AGE Years                                            | 67                       |
| 7. AGE Months                                           | 10                       |
| 7. AGE Days                                             | 20                       |
| 7. AGE If less than 1 day: Hours                        | [blank]                  |
| 7. AGE If less than 1 day: Minutes                      | [blank]                  |
| 8(a). OCCUPATION OF DECEASED - TRADE, PROFESSION, ETC?  | Housewife                |
| 8(b). GENERAL NATURE OF INDUSTRY, BUSINESS, ETC.        | [blank]                  |
| 8(c). NAME OF EMPLOYER                                  | [blank]                  |
| 9. BIRTHPLACE                                           | Ala                      |
| 10. NAME OF FATHER                                      | W. P. Edwards            |
| 11. BIRTHPLACE OF FATHER                                | N.C.                     |
| 12. MAIDEN NAME OF MOTHER                               | Mary Edwards             |
| 13. BIRTHPLACE OF MOTHER                                | N.C.                     |
| 14. INFORMANT                                           | J. Hollowman             |
| 14. INFORMANT ADDRESS                                   | City [Norfolk]           |
| 15. FILED                                               | 3/22, 1922               |
| 15. REGISTRAR                                           | J. Hollowman             |
| 16. DATE OF DEATH                                       | March 20, 1922           |
| 17. ATTENDED FROM                                       | March 9, 1922            |
| 17. ATTENDED TO                                         | March 20, 1922           |
| 17. LAST SAW ALIVE                                      | March 20, 1922           |
| 17. DEATH OCCURRED AT                                   | 7:30 P.M.                |
| 17. CAUSE OF DEATH                                      | Endo Carditis            |
| 17. DURATION (YRS)                                      | [blank]                  |
| 17. DURATION (MOS)                                      | [blank]                  |
| 17. DURATION (DS)                                       | [blank]                  |
| 17. CONTRIBUTORY (SECONDARY)                            | Acute Indigestion        |
| 17. CONTRIBUTORY DURATION (YRS)                         | [blank]                  |
| 17. CONTRIBUTORY DURATION (MOS)                         | 1                        |
| 17. CONTRIBUTORY DURATION (DS)                          | [blank]                  |
| 18. WHERE WAS DISEASE CONTRACTED?                       | [blank]                  |
| 18. DID AN OPERATION PRECEDE DEATH                      | No                       |
| 18. WAS THERE AN AUTOPSY                                | No                       |
| 18. WHAT TEST CONFIRMED DIAGNOSIS                       | [blank]                  |
| 18. (SIGNED)                                            | Richard De Beury, M.D.   |
| 18. DATE SIGNED                                         | 3/24/1922                |
| 18. ADDRESS                                             | 512 E. Brambleton Ave.   |
| 19. PLACE OF BURIAL OR REMOVAL                          | Forest Lawn Cemetery     |
| 19. DATE OF BURIAL                                      | 3-22-1922                |
| 20. UNDERTAKER                                          | Hollowman                |
| 20. UNDERTAKER ADDRESS                                  | City                     |
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