Death Certificate of Martin, Wilson Cleveland


Grover Cleveland Martin, age 77, born 21 Oct 1887 in North Carolina, son of Junius Adam Martin and Julia Etta Cutland, widower of Essie Mae Britt Martin, resided in Conway, Northampton County, North Carolina. He died of cardiac failure due to arteriosclerotic heart disease on 8 Dec 1964 at Eastern N.C. Sanatorium, Wilson, North Carolina.

  
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| Field                             | Value                                                                      |
|-----------------------------------|----------------------------------------------------------------------------|
| Certificate Number                | 40341                                                                      |
| Registration District No.         | 66                                                                         |
| Place of Death - City/Town        | Wilson                                                                     |
| Place of Death - Township         | Wilson                                                                     |
| Place of Death - County           | Northampton                                                                |
| Length of Stay                    | 6 days                                                                     |
| Usual Residence - City/Town       | Conway                                                                     |
| Usual Residence - State           | N.C.                                                                       |
| Usual Residence - County          | Northampton                                                                |
| Usual Residence - Address         | Route 1 - Box 113                                                          |
| Institution                       | Eastern N.C. Sanatorium                                                    |
| Full Name of Deceased             | Grover Cleveland Martin                                                    |
| Sex                               | Male                                                                       |
| Color or Race                     | White                                                                      |
| Marital Status                    | Widowed                                                                    |
| Date of Birth                     | 21 Oct 1887                                                                |
| Age                               | 77 years                                                                   |
| Usual Occupation                  | Farmer                                                                     |
| Birthplace                        | N.C., U.S.A.                                                               |
| Father's Name                     | Junius Adam Martin                                                         |
| Mother's Maiden Name              | Julia Etta Cutland                                                         |
| Name of Husband or Wife           | Essie Mae Britt Martin                                                     |
| Social Security No.               | Unknown                                                                    |
| Informant                         | Medical records                                                            |
| Date of Death                     | 8 Dec 1964                                                                 |
| Immediate Cause of Death          | Cardiac failure                                                            |
| Antecedent Cause of Death         | Arteriosclerotic heart disease with oldmyocardial infarction,September1964 |
| Other Significant Conditions      | Extensive pulmonary infiltration, causeundetermined                        |
| Interval Between Onset and Death  | Not known                                                                  |
| Autopsy                           | No                                                                         |
| Time of Death                     | 7:30 AM                                                                    |
| Injury                            | No injury                                                                  |
| Place of Injury                   | Not applicable                                                             |
| Burial or Removal                 | Burial                                                                     |
| Date of Burial                    | 10 Dec 1964                                                                |
| Name of Cemetery                  | Milwaukee Cemetery                                                         |
| Location of Cemetery              | Milwaukee, N.C.                                                            |
| Funeral Home                      | Conway Funeral Home, Conway, N.C.                                          |
| Date Signed                       | 10 Dec 1964                                                                |
| Signature of Certifying Physician | Vance B. Robertson, M.D.                                                   |
| Date Certificate Filed            | 10 Dec 1964                                                                |
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