Death Certificate of Johnson, Beulah Lillian

Beulah Lillian Johnson, age 87, was born on 26 May 1884 in Virginia to
William Drew Holland and Martha Jane Jones. She resided at 5015
Huntington Ave., Newport News, Virginia. She was widowed, her spouse was
William T. Johnson. She died of pneumonia on 15 Jan 1972 at Riverside
Hospital, Newport News, Virginia.

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

------------------------------------------------------------------------------------------------
| Field                            | Value                                                     |
|----------------------------------|-----------------------------------------------------------|
| Registration Area Number         | 216                                                       |
| Certificate Number               | 26                                                        |
| State File Number                | 72 000686                                                 |
| Full Name of Deceased            | Beulah Lillian Johnson                                    |
| Date of Death                    | 15 Jan 1972                                               |
| Age at Death                     | 87                                                        |
| Sex                              | Female                                                    |
| Race                             | White                                                     |
| Place of Death                   | Riverside Hospital, Newport News, Virginia                |
| Usual Residence                  | 5015 Huntington Ave., Newport News, Virginia, 23607       |
| Father's Name                    | William Drew Holland                                      |
| Mother's Maiden Name             | Martha Jane Jones                                         |
| Marital Status                   | Widowed                                                   |
| Name of Spouse                   | William T. Johnson                                        |
| Date of Birth                    | 26 May 1884                                               |
| Birthplace                       | Virginia                                                  |
| Occupation                       | Housewife                                                 |
| Kind of Business                 | Own Home                                                  |
| Informant                        | Mrs. Frank R. Willis, Niece                               |
| Immediate Cause of Death         | Pneumonia                                                 |
| Interval Between Onset and Death | 2 days?                                                   |
| Other Significant Conditions     |                                                           |
| Autopsy                          | No                                                        |
| Injury                           | No                                                        |
| Place of Injury                  | Not applicable                                            |
| Date of Injury                   | Not applicable                                            |
| Funeral Director                 | Peninsula Funeral Home, Inc., Newport News, Virginia23601 |
| Place of Burial                  | Greenlawn Cemetery, Newport News, Virginia                |
| Date of Burial                   | 17 Jan 1972                                               |
| Physician                        | John W Carney, M.D.                                       |
| Date Signed by Physician         | 17 Jan 1972                                               |
| Registrar                        | Naomi C Warton                                            |
| Date Filed                       | 17 Jan 1972                                               |
------------------------------------------------------------------------------------------------