Death Certificate of Story, Wilson P

Wilson P. Story, age 69, was born on 21 Jul 1915 in Virginia to
Cleveland H. Story and Sarah Askew. He resided in Route III, Franklin,
Southampton County, Virginia. He died on 7 May 1985 at Medical Center
Hospitals, Norfolk, Virginia. He was married, spouse Agnes Johnson
Story. Cause of death was cardio-pulmonary failure due to ruptured
abdominal aortic aneurysm and arteriosclerotic cardiovascular disease.

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| Field                                 | Value                                             |
|---------------------------------------|---------------------------------------------------|
| 1. FULL NAME OF DECEASED              | Wilson P. Story                                   |
| 2. DATE OF DEATH                      | May 7, 1985                                       |
| 3. AGE                                | 69 years                                          |
| 4. DATE OF BIRTH                      | July 21, 1915                                     |
| 5. RACE                               | White                                             |
| 6. SEX                                | Male                                              |
| 7. ARMED FORCES?                      | Retired Police                                    |
| 8. PLACE OF DEATH                     | Medical Center Hospitals                          |
| 9. CITY OR TOWN OF DEATH              | Norfolk                                           |
| 10. STREET ADDRESS OR RT. NO.         | 600 Gresham Drive                                 |
| 11. COUNTY OF DEATH                   | Southampton County, VA                            |
| 12. USUAL RESIDENCE OF DECEDENT       | Franklin, Virginia                                |
| 13. STREET ADDRESS OF RESIDENCE       | Route III                                         |
| 14. ZIP CODE                          | 23851                                             |
| 15. NAME OF FATHER OF DECEASED        | Cleveland H. Story                                |
| 16. MAIDEN NAME OF MOTHER             | Sarah Askew                                       |
| 17. CITIZEN OF WHAT COUNTRY           | USA                                               |
| 18. BIRTHPLACE (State or Country)     | Virginia                                          |
| 19. SOCIAL SECURITY NO.               | [Redacted]                                        |
| 20. USUAL OCCUPATION                  | Security Guard (Ret)                              |
| 21. KIND OF BUSINESS OR INDUSTRY      | Pinkerton Security Agency                         |
| 22. MARITAL STATUS                    | Married                                           |
| 23. IF MARRIED OR WIDOWED, SPOUSE     | Agnes Johnson Story                               |
| 24. INFORMANT                         | Wife - Agnes J. Story                             |
| 25. IMMEDIATE CAUSE OF DEATH          | Cardio-pulmonary failure                          |
| 26. DUE TO                            | Ruptured abdominal aortic aneurysm                |
| 27. DUE TO                            | Generalized arteriosclerotic cardiovasculardisease|
| 28. SIGNIFICANT CONDITIONS            | None                                              |
| 29. AUTOPSY                           | No                                                |
| 30. IF FEMALE, WAS THERE PREGNANCY    | [Not applicable]                                  |
| 31. TIME OF INJURY                    | [Blank]                                           |
| 32. PLACE OF INJURY                   | [Blank]                                           |
| 33. DESCRIBE HOW INJURY OCCURRED      | [Blank]                                           |
| 34. ACTUAL/APPROXIMATE DEATH          | Actual                                            |
| 35. DATE OF DEATH CERTIFIED           | May 17, 1985                                      |
| 36. SIGNATURE OF ATTENDING PHYSICIAN  | Jock D. Wheeler, M.D.                             |
| 37. ADDRESS OF ATTENDING PHYSICIAN    | 25D W. Brambleton Ave., Norfolk, VA 23510         |
| 38. FUNERAL DIRECTOR                  | Wright Funeral Home                               |
| 39. BURIAL/REMOVAL/CEMETERY/CREMATION | Mt. Horeb Church Cemetery, Southampton            |
| 40. SIGNATURE OF FUNERAL DIRECTOR     | James C. Wright                                   |
| 41. ADDRESS OF FUNERAL HOME           | 206 W. Fourth Ave., Franklin, VA                  |
| 42. DATE RECEIVED BY REGISTRAR        | May 22, 1985                                      |
| 43. SIGNATURE OF REGISTRAR            | Va. G. Cofer                                      |
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