Death Certificate of Edith Beale Laine

Edith Beale Laine, 80, died on 11 Aug 1993 in Norfolk from respiratory
failure due to pulmonary fibrosis. A resident of Court St., Courtland, 
she was married to Arthur C. Laine and was buried at Riverside Cemetery, 
Courtland, VA.

Mrs. Laine was born on 4 Jul 1913 in Virginia, daughter of Hugh Patrick
Beale and Roberta Wellons, identified as White, reached 11th grade
education, and was a retired Southampton county court clerk. Informant 
was her son, William A. Bell, Jr.

|---------------------------------------------|--------------------------------------------------|
| Field                                       | Value                                            |
|---------------------------------------------|--------------------------------------------------|
| REGISTRATION AREA NUMBER                    | 217                                              |
| CERTIFICATE NUMBER                          | 1937                                             |
| STATE FILE NUMBER                           | 93-030408                                        |
| 1. FULL NAME                                | Edith Beale Laine                                |
| 2. SEX                                      | Female                                           |
| 3. DATE OF DEATH                            | Aug. 11, 1993                                    |
| 4. AGE                                      | 80 Years                                         |
| 5. DATE OF BIRTH                            | July 4, 1913                                     |
| 6. ARMED FORCES                             | No                                               |
| 7. COUNTY OR CITY OF DEATH                  | Norfolk                                          |
| STATE                                       | Virginia                                         |
| 8. HOSPITAL OR OTHER INSTITUTION            | Sentara Leigh Memorial Hospital                  |
| 9. ADDRESS                                  | 830 Kempsville Road                              |
| 10. RESIDENCE - STATE                       | Virginia                                         |
| 11. COUNTY                                  | Southampton County                               |
| 12. CITY, TOWN OR LOCATION                  | Courtland                                        |
| 13. ADDRESS                                 | Court Street                                     |
| 14. ZIP CODE                                | 23837                                            |
| 15. NAME OF DECEDENT'S FATHER               | Hugh Patrick Beale                               |
| 16. NAME MAIDEN NAME OF DECEDENT'S MOTHER   | Roberta Wellons                                  |
| 17. RACE OR DESCENT                         | White                                            |
| 18. SPANISH ORIGIN                          | No                                               |
| 19. EDUCATION - HIGHEST GRADE COMPLETED     | 11                                               |
| 20. CITIZEN OF WHAT COUNTRY                 | U.S.A.                                           |
| 21. BIRTHPLACE                              | Virginia                                         |
| 22. NEVER MARRIED                           | No                                               |
| 23. MARRIED                                 | Yes                                              |
| 24. WIDOWED                                 | Yes                                              |
| 25. DIVORCED                                | No                                               |
| 26. NAME OF SURVIVING SPOUSE IF WIDOWED     | Arthur C. Laine                                  |
| 27. USUAL OCCUPATION                        | Clerk                                            |
| 28. KIND OF BUSINESS OR INDUSTRY            | Southampton County Court                         |
| 29. NAME OF INFORMANT                       | Son - William A. Bell, Jr.                       |
| 30. MAILING ADDRESS OF INFORMANT            | Southampton County Court                         |
| 32A. IMMEDIATE CAUSE                        | Respiratory Failure                              |
| 32B. DUE TO                                 | Pulmonary Fibrosis                               |
| 32C. DUE TO                                 | Pulmonary Hypertension                           |
| 33. AUTOPSY                                 | No                                               |
| 34. PREGNANCY IN PAST 3 MONTHS?             | No                                               |
| 35. IF EXTERNAL CAUSE                       | -                                                |
| 36. DESCRIBE HOW INJURY RELATING TO DEATH   | -                                                |
| 37A. AT WORK                                | No                                               |
| 37B. STREET OR HIGHWAY                      | -                                                |
| 37C. CITY, TOWN, OR LOCATION                | -                                                |
| 37D. COUNTY OR STATE                        | -                                                |
| 38. TO THE BEST OF MY KNOWLEDGE, DEATH TIME | 7:25                                             |
| 39. DATE SIGNED                             | 8/17/93                                          |
| 40. SIGNATURE OF PHYSICIAN/EXAMINER         | Charles J. Donlan, Jr., M.D.                     |
| 41. NAME, ADDRESS OF PHYSICIAN/EXAMINER     | 2508 WEST Brambleton Avenue, Suite 201, Norfolk, |
|--                                           | VA 23510                                         |
| 42. DATE LAST SEEN ALIVE                    | 8/17/93                                          |
| 43. BURIED                                  | Yes                                              |
| 44. REMOVED                                 | No                                               |
| 45. CREMATED                                | No                                               |
| 46. PLACE OF BURIAL                         | Riverside Cemetery, Courtland, VA                |
| 47. NAME AND ADDRESS OF FUNERAL HOME        | Wright Funeral Home, 206 W. Fourth Ave.,         |
|--                                           | Franklin, VA                                     |
| 48. DATE OF BURIAL                          | Aug. 18, 1993                                    |
| 49. REGISTRAR SIGNATURE                     | Nell Foggton                                     |
| 50. DATE RECEIVED                           | Aug. 18, 1993                                    |
|---------------------------------------------|--------------------------------------------------|

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