Death Certificate of Ferguson, Floyd Nathan

Floyd Nathan Ferguson, age 57, died of massive coronary thrombosis on 23
Apr 1974 at Portsmouth General Hospital, Portsmouth, Virginia. Born 27
Jun 1916 in Virginia to Nathan Ferguson and Annie Gray, he lived at 4333
Caroline Ave., Portsmouth. He was married to Elsie Mae Ferguson.

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| Field                                             | Value                                 |
|---------------------------------------------------|---------------------------------------|
| CERTIFICATE NUMBER                                | 513                                   |
| 1. FULL NAME OF DECEASED                          | Floyd Nathan Ferguson                 |
| 2. SEX                                            | male                                  |
| 3. DATE OF DEATH                                  | April 23, 1974                        |
| 4. AGE OF DECEASED                                | 57                                    |
| 5. COLOR OR RACE                                  | Caucasian                             |
| PLACE OF DEATH                                                                            |
| 6. NAME OF HOSPITAL OR INSTITUTION                | Portsmouth General Hospital           |
| 7. COUNTY OF DEATH                                | Portsmouth                            |
| 8. CITY OR TOWN                                   | Portsmouth                            |
| 9. ADDRESS                                        | 900 Leckie St.                        |
| 10. STATE (OR FOREIGN COUNTRY)                    | Virginia                              |
| USUAL RESIDENCE OF DECEASED                                                               |
| 11. STATE                                         | Virginia                              |
| 12. COUNTY                                        | Portsmouth                            |
| 13. CITY OR TOWN                                  | Portsmouth                            |
| 14. ADDRESS                                       | 4333 Caroline Ave.                    |
| 15. ZIP CODE                                      | 23707                                 |
| PERSONAL DATA OF DECEASED                                                                 |
| 16. DATE OF BIRTH                                 | June 27, 1916                         |
| 17. US DECEASED CITIZEN OF WHAT COUNTRY           | US                                    |
| 18. VETERAN                                       | Yes                                   |
| 19. WAR                                           | World War II                          |
| 20. KIND OF BUSINESS OR INDUSTRY                  | Security Guard                        |
| 21. USUAL OR LAST OCCUPATION                      | Security Guard                        |
| 22. PLACE OF EMPLOYMENT                           | Ports. Civic Ctr.                     |
| 23. MARITAL STATUS                                | Married                               |
| 24. NAME OF SPOUSE                                | Elsie Mae Ferguson                    |
| 25. NAME OF FATHER                                | Nathan Ferguson                       |
| 26. MAIDEN NAME OF MOTHER                         | Annie Gray                            |
| CAUSE OF DEATH                                                                            |
| 25. PART I. DEATH WAS CAUSED BY                   | Massive Coronary Thrombosis           |
| INTERVAL BETWEEN ONSET AND DEATH                  | Only a few minutes                    |
| 26a. AUTOPSY?                                     | No                                    |
| 26. I CERTIFY THAT I ATTENDED THE DECEASED FROM   | 4/21/74 TO 4/23/74                    |
| AND THAT DEATH OCCURRED AT                        | 2:25 AM                               |
| SIGNATURE                                         | Richard T. Eaton, M.D.                |
| DATE SIGNED                                       | 4-23-74                               |
| FUNERAL                                                                                   |
| BURIAL, REMOVAL, CREMATION                        | Burial                                |
| 28. PLACE                                         | Olive Branch Cemetery, Portsmouth, Va.|
| FUNERAL DIRECTOR NAME                             | Snellings Funeral Home                |
| ADDRESS                                           | Portsmouth, Va. 23705                 |
| REGISTRAR                                                                                 |
| 30. REGISTRAR SIGNATURE                           | Julie L. Linsey                       |
| DATE RECORD FILED                                 | APR 25 1974                           |
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