Death Certificate of Roach, Raymond Randolph


Raymond Randolph Roach, age 74, born 12 Jun 1901 in Virginia to Walter Pleasant Roach and Lucy Dodson, resided at 128 S. Sycamore St., Petersburg, Virginia. He was married to Rachel V. Roach. He died on 1 Apr 1976 at Petersburg General Hospital from coronary occlusion, myocardial infarction, due to coronary heart disease and high blood pressure.

  
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| Field                            | Value                                           |
|----------------------------------|-------------------------------------------------|
| Registration Area Number         | 219                                             |
| Certificate Number               | 58                                              |
| State File Number                | 76-011006                                       |
| Full Name of Deceased            | Raymond Randolph Roach                          |
| Date of Death                    | 1 Apr 1976                                      |
| Age at Death                     | 74 years                                        |
| Sex                              | Male                                            |
| Place of Death                   | Petersburg General Hospital, 801 S Adams St     |
| Usual Residence                  | 128 S. Sycamore St., Petersburg, Virginia 23803 |
| State of Residence               | Virginia                                        |
| County of Residence              | Petersburg                                      |
| Father's Name                    | Walter Pleasant Roach                           |
| Mother's Name                    | Lucy Dodson                                     |
| Maiden Name of Mother            | Dodson                                          |
| Informant                        | Mrs. Rachel Joyner Roach                        |
| Marital Status                   | Married                                         |
| Name of Spouse                   | Rachel V. Roach                                 |
| Occupation                       | Retired Painter                                 |
| Veteran Status                   | No                                              |
| Date of Birth                    | 12 Jun 1901                                     |
| Birthplace                       | Virginia                                        |
| Cause of Death (Immediate)       | Coronary occlusion, myocardial infarction       |
| Due to                           | Coronary heart disease                          |
| Other Significant Condition      | High blood pressure                             |
| Interval Between Onset and Death | 10 days                                         |
| Autopsy                          | No                                              |
| Certifying Physician             | [Illegible], M.D.                               |
| Date Signed by Physician         | 4 Apr 1976                                      |
| Hour of Death                    | 12:15 PM                                        |
| Funeral Director                 | J.T. Morriss & Son Inc.                         |
| Place of Burial                  | Blandford, Petersburg, Virginia                 |
| Registrar                        | Mildred Stafford, Deputy                        |
| Date Received by Registrar       | 8 Apr 1976                                      |
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