Death Certificate of Clem Thurman Howell, Jr.

Clem Thurman Howell, Jr., age 60, died of hepatic encephalopathy due to
chronic active hepatitis on 29 Jan 1977 at Veterans Administration
Hospital, Richmond, Virginia. He was born 12 Jan 1917 in Amherst Co.,
Virginia, to Clem Howell, Sr. and Mary Layne. He was married to Frances 
G. Howell and resided at 706 Gladstone Avenue, Richmond.

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| Field                                   | Value                                |
|-----------------------------------------|--------------------------------------|
| 222: REGISTRATION AREA NUMBER           | 345                                  |
| STATE FILE NUMBER                       | 77 002678                            |
| 1. FULL NAME OF DECEASED                | CLEM THURMAN HOWELL, JR.             |
| 2. SEX                                  | male                                 |
| 3. DATE OF DEATH                        | JANUARY 29, 1977                     |
| 4. AGE OF DECEASED                      | 60 years                             |
| 5. IF UNDER 1 YEAR                      | (blank)                              |
| 6. COLOR OR RACE                        | WHITE                                |
| 7. NAME OF HOSPITAL OR INSTITUTION      | VETERANS ADMINISTRATION HOSPITAL     |
| 8. COUNTY OF DEATH                      | (blank)                              |
| 9. CITY OR TOWN                         | RICHMOND                             |
| 10. INSIDE CITY OR TOWN LIMITS?         | XX (checked)                         |
| 11. ADDRESS                             | 1201 BROAD ROCK ROAD 23249           |
| 12. RESIDENCE: STATE                    | VIRGINIA                             |
| 13. RESIDENCE: COUNTY                   | RICHMOND                             |
| 14. RESIDENCE: CITY/TOWN                | RICHMOND                             |
| 15. INSIDE CITY OR TOWN LIMITS?         | XX (checked)                         |
| 16. ADDRESS                             | 706 GLADSTONE AVENUE                 |
| 17. ZIP CODE                            | 23222                                |
| 18. NAME OF FATHER OF DECEASED          | CLEM HOWELL, SR.                     |
| 19. MAIDEN NAME OF MOTHER OF DECEASED   | MARY LAYNE                           |
| 20. DECEDENT CITIZEN OF WHAT COUNTRY    | U.S.A.                               |
| 21. MARITAL STATUS                      | MARRIED XX (checked)                 |
| 22. SPOUSE:                             | FRANCES G. HOWELL                    |
| 23. USUAL OR LAST OCCUPATION            | RETIRED                              |
| 24. KIND OF BUSINESS OR INDUSTRY        | (blank)                              |
| 25. BIRTHPLACE (State or country)       | AMHERST CO., VA.                     |
| 26. DATE OF BIRTH OF DECEASED           | 1-12-17                              |
| 27. VETERAN                             | WWII U.S.                            |
| 28. NON-HOSPITAL OR SOURCE              | VA HOSPITAL RECORDS, RICHMOND, VA.   |
| 26. CAUSE OF DEATH                      | HEPATIC ENCEPHALOPATHY               |
| 26. CAUSE OF DEATH                      | CHRONIC ACTIVE HEPATITIS             |
| 26. CAUSE OF DEATH                      | (blank)                              |
| INTERVAL BETWEEN ONSET AND DEATH        | 12-29-76 – 1-29-77                   |
| PART II. OTHER SIGNIFICANT CONDITIONS   | (blank)                              |
| 26a. AUTOPSY?                           | No (checked)                         |
| 26b. AUTOPSY AUTHORIZED?                | No (checked)                         |
| 26c. PREGNANCY IN PAST 3 MONTHS?        | (blank)                              |
| 26d. EXTERNAL CAUSE                     | (blank)                              |
| 26e. DESCRIBE HOW INJURY OCCURRED       | (blank)                              |
| 26f. TIME OF INJURY                     | (blank)                              |
| 26g. INJURY OCCURRED AT                 | (blank)                              |
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