Death Certificate of Rose, Mills E


 
  
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| Field                          | Value                           |
|--------------------------------|---------------------------------|
| Registration Area Number       | 233                             |
| Certificate Number             | 674                             |
| State File Number              | 87-019653                       |
| Full Name of Deceased          | Mills E. Rose                   |
| Sex                            | Male                            |
| Race                           | White                           |
| Date of Death                  | 3 Jun 1987                      |
| Age                            | 62 years                        |
| Date of Birth                  | 17 Nov 1924                     |
| Name of Hospital               | Southampton Memorial Hospital   |
| City or Town of Death          | Franklin                        |
| County of Death                | Southampton                     |
| Usual Residence State          | Virginia                        |
| Usual Residence City           | Franklin                        |
| Usual Residence Street Address | 55 Crescent Drive               |
| Usual Residence Zip Code       | 23851                           |
| Father's Name                  | John R. Rose                    |
| Mother's Maiden Name           | Syvilla Bowden                  |
| Decedent's Occupation          | Supervisor (Ret.) Co.           |
| Industry                       | Golden Peanut                   |
| Marital Status                 | Married                         |
| Name of Surviving Spouse       | Juliette Johnson Rose           |
| Informant                      | Wife—Juliette J. Rose           |
| Immediate Cause of Death       | Respiratory arrest              |
| Due to                         | Ischemic cardiomyopathy         |
| Due to (secondary)             | Atherosclerotic heart disease   |
| Autopsy                        | No                              |
| Date of Burial                 | 5 Jun 1987                      |
| Place of Burial                | South Quay Cemetery, Suffolk,VA |
| Funeral Director               | WRIGHT FUNERAL HOME             |
| Funeral Director Address       | 206 W. Fourth Ave., Franklin,VA |
| Registrar                      | Virginia L. Taylor              |
| Date Filed                     | 4 Jun 1987                      |
| Physician                      | C. L. Powell, M.D.              |
| Physician Address              | Franklin, Virginia              |
| Time of Death                  | 11:07 AM                        |
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