Death Certificate of William Howard Joyner

William Howard Joyner, age 90, died on 15 Jun 1998 at Nansemond Pointe,
Suffolk, Virginia. He was born on 4 May 1908 in Suffolk, VA, to David K.
Joyner and Sallie Daughtrey. He resided at 200 W. Constance Road,
Suffolk, and was married to Ruby Umphlett Joyner. The cause of death was
COPD - Bronchiectasis, due to or as a consequence of Chitty and tobacco
smoking. He was buried at Cedar Hill Cemetery, Suffolk.
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| Field                                                | Value                                |
|------------------------------------------------------|--------------------------------------|
| Registration Number                                  | 227                                  |
| Certificate Number                                   | 286                                  |
| STATE FILE NUMBER                                    | 98-024064                            |
| 1. FULL NAME OF DECEDENT                             | WILLIAM HOWARD JOYNER                |
| 2. SEX                                               | MALE                                 |
| 3. DATE OF DEATH                                     | JUNE 15 1998                         |
| 4. AGE                                               | 90                                   |
| 5. IF UNDER 1 YEAR Months ___ Days ___               |                                      |
| 6. IF UNDER 1 DAY Hours ___ Minutes ___              |                                      |
| 7. DATE OF BIRTH                                     | MAY 4 1908                           |
| 8a. NAME OF HOSPITAL OR INSTITUTION OF DEATH         | NANSEMOND POINTE                     |
| 8b. CITY OR TOWN OF DEATH                            | SUFFOLK                              |
| 8c. COUNTY OF DEATH                                  | SUFFOLK                              |
| 8d. ADDRESS OR RT. NO, PLACE OF DEATH                | 200 W. CONSTANCE ROAD                |
| 9. RESIDENCE: STATE                                  | VIRGINIA                             |
| 10. RESIDENCE: COUNTY                                | SUFFOLK                              |
| 11. RESIDENCE: CITY/TOWN                             | SUFFOLK                              |
| 12. ADDRESS                                          | 200 W. CONSTANCE ROAD                |
| 13. ZIP CODE                                         | 23434                                |
| 14. NAME OF DECEDENT’S FATHER                        | DAVID K. JOYNER                      |
| 15. MAIDEN NAME OF DECEDENT’S MOTHER                 | SALLIE DAUGHTREY                     |
| 16. RACE OF DECEDENT                                 | WHITE                                |
| 17. OF HISPANIC ORIGIN?                              |                                      |
| 18. CITIZEN OF WHAT COUNTRY                          | U.S.A.                               |
| 19. BIRTHPLACE – State or country                    | SUFFOLK, VA.                         |
| 20. MARITAL STATUS                                   | MARRIED                              |
| 21. NAME OF SPOUSE                                   | RUBY UMPHLETT JOYNER                 |
| 22. SOCIAL SECURITY NUMBER                           |                                      |
| 23. USUAL OR LAST OCCUPATION                         | PHARMACIST                           |
| 24. KIND OF BUSINESS OR INDUSTRY                     | PHARMACY                             |
| 25. INFORMANT (Name and source of information)       | LESLIE BYRUM                         |
| 26. RELATIONSHIP TO DECEDENT                         | DAUGHTER                             |
| 27. EDUCATION (Specify only highest grade completed) | 5+                                   |
| 28. PART I. Immediate Cause                          | COPD - Bronchiectasis                |
| 28. PART I. Due to (or as a consequence of) (b)      | CHITTY                               |
| 28. PART I. Due to (or as a consequence of) (c)      | Tobacco Smoking                      |
| 28. PART I. Due to (or as a consequence of) (d)      |                                      |
| 28. Approximate interval between onset and death (a) | Years                                |
| 28. Approximate interval between onset and death (b) | Years                                |
| 28. Approximate interval between onset and death (c) | Years                                |
| PART II. OTHER SIGNIFICANT CONDITIONS                | CHF, CH Bladder, Stroke              |
| 29. WAS AN AUTOPSY PERFORMED                         | NO                                   |
| 30. DESCRIBE HOW INJURY RELATING TO DEATH OCCURRED   |                                      |
| 31a. IF FEMALE – NONE OF THE FOLLOWING               |                                      |
| 32. PLACE OF INJURY (if injury occurred)             |                                      |
| 33. INJURY AT WORK                                   |                                      |
| 34. DATE OF INJURY                                   |                                      |
| 35. HOUR OF INJURY                                   |                                      |
| 36. DID TOBACCO USE CONTRIBUTE TO DEATH              | YES                                  |
| 37. IF DEATH WAS DUE TO                              |                                      |
| 38. IF TRANSPORTATION ACCIDENT – SPECIFY             |                                      |
| SIGNATURE OF ATTENDING PHYSICIAN                     | D. Forman M.D.                       |
| DATE SIGNED                                          | 6/16/98                              |
| PERSON COMPLETING CAUE OF DEATH                      | J. Freeman M.D., Suffolk, Va.        |
| 39. FUNERAL DIRECTOR (signature)                     | W.O. TWAY                            |
| 40. NAME OF FUNERAL HOME                             | R. W. BAKER CO. FUNERAL HOME      |
| 41. ADDRESS OF FUNERAL HOME                          | 509 W. WASHINGTON ST. SUFFOLK, VA.   |
| DISPOSITION                                          | BURIAL                               |
| 42. PLACE OF DISPOSITION                             | CEDAR HILL CEMETERY                  |
| 43. LOCATION                                         | SUFFOLK, VIRGINIA                    |
| 44. DATE OF DISPOSITION                              |                                      |
| 45. REGISTRAR SIGNATURE                              | Dawn R. Haton                        |
| DATE RECORDED/FILED                                  | 16-JUN-1998                          |
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