Death Certificate of Duck, Garland Andrews

Garland Andrews Duck, son of Crawley Duck and Bessie Andrews, was born 2
Oct 1915 in Virginia and died 16 Jul 1984 at Norfolk Gen., Norfolk,
Virginia.

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| ID | Section               | Field Description                              | Value                                   |
|----|-----------------------|------------------------------------------------|-----------------------------------------|
| 1  | Decedent              | Full Name of Deceased                          | Garland Andrews Duck                    |
| 2  | Decedent              | Date of Death                                  | July 16, 1984                           |
| 3  | Decedent              | Age                                            | 68                                      |
| 4  | Decedent              | Sex                                            | Male                                    |
| 5  | Decedent              | Race                                           | White                                   |
| 6  | Decedent              | Date of Birth                                  | October 2, 1915                         |
| 7  | Decedent              | Place of Death (Hospital/Institution)          | Norfolk Gen.                            |
| 8  | Decedent              | City or Town of Death                          | Norfolk                                 |
| 9  | Decedent              | County of Death                                | #3                                      |
| 10 | Decedent              | Street Address or R.F.D. No. of Place of Death | 600 Gresham Dr.                         |
| 11 | Decedent              | State of Residence                             | Virginia                                |
| 12 | Decedent              | County of Residence                            | #3                                      |
| 13 | Decedent              | City or Town of Residence                      | Franklin                                |
| 14 | Decedent              | Street Address of Residence                    | 566 Ashton Ave.                         |
| 15 | Decedent              | Zip Code of Residence                          | 23851                                   |
| 16 | Decedent              | Personal Data File Number                      | 5441 2                                  |
| 17 | Decedent              | Name of Father                                 | Crawley Duck                            |
| 18 | Decedent              | Name of Mother                                 | Bessie Andrews                          |
| 19 | Decedent              | Citizen of What Country                        | U.S.A.                                  |
| 20 | Decedent              | Birthplace                                     | Virginia                                |
| 21 | Decedent              | Marital Status                                 | Married                                 |
| 22 | Decedent              | Name of Spouse                                 | Mary Frances Duck                       |
| 23 | Decedent              | Usual or Last Occupation                       | Security                                |
| 24 | Decedent              | Kind of Business or Industry                   | Union-Camp Corp.                        |
| 25 | Decedent              | Informant                                      | Mary F. Duck                            |
| 26 | Medical Certification | Immediate Cause (Part I)                       | Cardiac Arrest                          |
| 27 | Medical Certification | Due to (or as a consequence of)                | Cardiogenic Shock                       |
| 28 | Medical Certification | Due to (or as a consequence of)                | Acute Myocardial Infarction             |
| 29 | Medical Certification | Autopsy                                        | No                                      |
| 30 | Medical Certification | Time of Death                                  | 8:15 a.m.                               |
| 31 | Medical Certification | Date Signed by Physician                       | 7/23/84                                 |
| 32 | Medical Certification | Attending Physician                            | Robert D. Bricklin, M.D.                |
| 33 | Medical Certification | Physician Address                              | 400 W Brambleton Ave, Norfolk, VA 23510 |
| 34 | Funeral               | Funeral Director                               | Wright                                  |
| 35 | Funeral               | Place of Burial, Removal, Cremation            | Poplar Spring, Franklin, VA             |
| 36 | Funeral               | Address of Funeral Director                    | 206 West 4th Av.                        |
| 37 | Registrar             | Registrar                                      | Lames C. Wright (signature)             |
| 38 | Registrar             | Date Received by Registrar                     | Jul 25 1984                             |
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