Death Certificate of Drake, Lee

Lee Drake, age 73, died of cerebral hemorrhage on 1 Jan 1960 at Dixie
Hospital, Hampton, Virginia. She was widowed, spouse Willard Drake. Born
15 May 1886 in Newsome, Southampton Co., Va., to parents Unknown and
Unknown. Residence was 209 Armistead Avenue, Hampton, Virginia.

------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------------------
| Field                                                 | Value                                             |
|-------------------------------------------------------|---------------------------------------------------|
| 1. a. COUNTY                                          | [Not specified]                                   |
| 1. b. MAGISTERIAL DISTRICT                            | [Not specified]                                   |
| 2. STATE                                              | Virginia                                          |
| 2. b. COUNTY                                          | [Not specified]                                   |
| 1. c. CITY OR TOWN                                    | Hampton                                           |
| 1. d. IS PLACE OF DEATH INSIDE CITY OR TOWN LIMITS?   | YES                                               |
| 1. e. HOSPITAL OR INSTITUTION                         | Dixie Hospital                                    |
| 1. f. LENGTH OF STAY                                  | [Not specified]                                   |
| 5. a. STATE                                           | Virginia                                          |
| 5. b. COUNTY                                          | [Not specified]                                   |
| 5. c. CITY OR TOWN                                    | Hampton                                           |
| 5. d. ADDRESS                                         | 209 Armistead Avenue                              |
| 5. e. INSIDE CITY OR TOWN LIMITS?                     | YES                                               |
| 5. f. RESIDENCE ON A FARM?                            | NO                                                |
| 3. a. (First)                                         | Lee                                               |
| 3. b. (Middle)                                        | [Blank]                                           |
| 3. c. (Last)                                          | Drake                                             |
| 4. a. Month                                           | January                                           |
| 4. b. Day                                             | 1                                                 |
| 4. c. Year                                            | 1960                                              |
| 6. COLOR OR RACE                                      | Cauc.                                             |
| 7. MARRIED                                            | WIDOWED                                           |
| 8. DATE OF BIRTH                                      | May 15, 1886                                      |
| 9. AGE (in years)                                     | 73                                                |
| 10a. USUAL OCCUPATION                                 | Housewife                                         |
| 10b. KIND OF BUSINESS OR INDUSTRY                     | [Blank]                                           |
| 11. BIRTHPLACE                                        | Newsome, Southampton Co., Va.                     |
| 12. CITIZEN OF WHAT COUNTRY                           | USA                                               |
| 13. FATHER'S NAME                                     | Unknown                                           |
| 14. MOTHER'S MAIDEN NAME                              | Unknown                                           |
| 15. NAME OF HUSBAND OR WIFE OF DECEASED               | Willard Drake                                     |
| 17. INFORMANT'S SIGNATURE                             | Mr. Willard Drake                                 |
| 17. ADDRESS                                           | Same as 2                                         |
| 18. PART I. DEATH WAS CAUSED BY - IMMEDIATE CAUSE     | Cerebral Hemorrhage                               |
| 18. INTERVAL BETWEEN ONSET AND DEATH                  |                                                   |
| 19. WAS AUTOPSY PERFORMED?                            | NO                                                |
| 20. ACCIDENT SUICIDE HOMICIDE                         | [Blank]                                           |
| 20b. DESCRIBE HOW INJURY OCCURRED                     | [Blank]                                           |
| 21. TIME OF HOUR, Month, Day, Year INJURY             | [Blank]                                           |
| 22. INJURY OCCURRED WHILE AT WORK                     | [Blank]                                           |
| 20. PLACE OF INJURY                                   | [Blank]                                           |
| 21. I certify the deceased died at                    | 5 pm Jan 1, 60 and last saw alive on Jan 1, 60    |
| 21. SIGNATURE                                         | [Illegible, appears to be medical certifier]      |
| 21. ADDRESS                                           | Hampton, Va.                                      |
| 22c. DATE SIGNED                                      | 1-5-60                                            |
| 23a. BURIAL, CREMATION, REMOVAL (Specify)             | Burial                                            |
| 23b. DATE                                             | 1-5-60                                            |
| 23c. NAME OF CEMETERY OR CREMATORY                    | Hampton National Cem.                             |
| 23d. LOCATION (City, Town, or Location)               | Hampton, Virginia                                 |
| 24. FUNERAL DIRECTOR'S SIGNATURE                      | Lawrence B Wood                                   |
| 24. ADDRESS                                           | Hampton, Virginia                                 |
| DATE REC'D BY LOCAL REGISTRAR                         | 1-6-60                                            |
| REGISTRAR'S SIGNATURE                                 | Susie I Huffman, Deputy                           |
-------------------------------------------------------------------------------------------------------------