Death Certificate of Martha Helen Carr Hanley

Martha Helen Carr Hanley, 81, died on 17 Apr 1976 in Norfolk from
perforation of sigmoid with peritonitis, colonic impaction due to
diabetes. A resident of 9522 Cape Henry Avenue, she was widow of Harry
G. Hanley and was buried at Forest Lawn Cemetery Norfolk, Virginia.

Mrs. Hanley was female, white, and born on 5 Oct 1894 in Norfolk,
Virginia. She resided at 9522 Cape Henry Avenue, Norfolk, and her usual
occupation was housewife at home. Death occurred at Medical Center
Hospitals (Leigh), 600 Bramble Arch, Norfolk. Immediate cause was
perforation of sigmoid with peritonitis, colonic impaction, with
diabetes as contributing condition. No external cause or injury was
reported, and no pregnancy occurred in the past three months. Funeral
services were handled by Hollomon-Brown Funeral Home, Inc.

|----------------------------------------------------------------------------------------|
| Field                                   | Value                                        |
|-----------------------------------------|----------------------------------------------|
| 1. FULL NAME OF DECEASED                | MARTHA HELEN CARR HANLEY                     |
| 2. SEX                                  | female                                       |
| 3. DATE OF DEATH                        | April 17, 1976                               |
| 4. AGE OF DECEASED                      | 81 years                                     |
| 5. COLOR OR RACE                        | White                                        |
| 6. NAME OF HOSPITAL OR INSTITUTION      | Medical Center Hospitals                     |
| 7. COUNTY OF DEATH                      | Norfolk                                      |
| 8. CITY OR TOWN OF DEATH                | Norfolk                                      |
| 9. ADDRESS                              | 600 Bramble Arch                             |
| 10. RESIDENCE: STATE                    | USA                                          |
| 11. RESIDENCE: CITY/TOWN                | Norfolk                                      |
| 12. RESIDENCE                           | 9522 Cape Henry Avenue                       |
| ZIP CODE                                | 23513                                        |
| 17. MARRIED                             | Widowed                                      |
| 18. NAME OF SPOUSE                      | Harry G. Hanley                              |
| 19. DATE OF BIRTH OF DECEASED           | Oct. 5, 1894                                 |
| 20. BIRTHPLACE                          | Norfolk, Virginia                            |
| 21. USUAL RESIDENCE                     | Housewife                                    |
| 22. KIND OF BUSINESS OR INDUSTRY        | At Home                                      |
| 23. USUAL AT REST OCCUPATION            | Housewife                                    |
| 24. KIND OF BUSINESS OR INDUSTRY        | At Home                                      |
| 26a. Immediate Cause                    | perforation of sigmoid with peritonitis      |
| --                                      | colonic impaction                            |
| Interval between onset and death        | 3 days                                       |
| 26b. Condition giving rise to immediate | diabetes                                     |
| Interval between onset and death        | 1 week                                       |
| 26c. Due to                             | Diabetes                                     |
| PART II. OTHER SIGNIFICANT CONDITIONS   | None                                         |
| 26e. PREGNANCY IN PAST 3 MONTHS?        | No                                           |
| 26f. EXTERNAL CAUSE                     | N/A                                          |
| 26g. DESCRIBE HOW INJURY OCCURRED       | N/A                                          |
| SIGNATURE OF PHYSICIAN                  | B. Stiengolk, M.D.                           |
| DATE SIGNED                             | 4–20–76                                      |
| ACTUAL OR PRESUMED TIME OF DEATH        | 10:15 A.M.                                   |
| PLACE OF BURIAL                         | Forest Lawn Cemetery Norfolk, Virginia       |
| FUNERAL DIRECTOR                        | Hollomon-Brown Funeral Home, Inc.            |
| DATE RECEIVED                           | APR 21 1976                                  |
|----------------------------------------------------------------------------------------|

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