Death Certificate of Herbert Lawrence Turner

Herbert Lawrence Turner, 75, died on 17 Jan 1991 in Emporia from
coronary artery disease, suspected myocardial infarction due to ASCVD,
S/P MI, and COPD. A resident of Boykins, he was married to Ruby Lee
Turner and was buried on 20 Jan 1991 at Pleasant Plain Baptist Church
Cemetery, Drewryville.

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Mr. Turner was born on 16 Dec 1915 in Virginia to Sidney and Corine
Turner. He was Black, a retired farmer, and his last residence was Rt.
#1, Box 489, Boykins, Virginia. His son Alvin Turner served as informant
on the record.

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|----------------------------------------------|-------------------------------------------------|
| Field                                        | Value                                           |
|----------------------------------------------|-------------------------------------------------|
| REGISTRATION AREA NUMBER                     | 236                                             |
| SUBCERTIFICATE NUMBER                        | 14                                              |
| STATE FILE NUMBER                            | 91-000226                                       |
| 1. FULL NAME OF DECEDENT                     | HERBERT LAWRENCE TURNER                         |
| 2. SEX                                       | Male                                            |
| 3. DATE OF DEATH                             | Jan. 17, 1991                                   |
| 4. AGE                                       | 75 Years                                        |
| 5. UNDER 1 YEAR                              | -                                               |
| 6. IF UNDER 1 DAY                            | -                                               |
| 7. WAS DECEDENT AN INFANT                    | No                                              |
| 6a. DATE OF BIRTH                            | Dec. 16, 1915                                   |
| 7. NAME OF HOSPITAL OR INSTITUTION OF DEATH  | Greenville Nursing Home                         |
| 8. CITY OR TOWN OF DEATH                     | Emporia                                         |
| 9. COUNTY OF DEATH                           | Emporia                                         |
| 10. INSIDE CITY LIMITS?                      | Yes                                             |
| 11. ADDRESS                                  | 200 Weaver Ave.                                 |
| 12. RESIDENCE: STATE                         | Virginia                                        |
| 13. RESIDENCE: COUNTY                        | Southampton                                     |
| 14. RESIDENCE: CITY/TOWN                     | Boykins                                         |
| 15. ADDRESS                                  | Rt.#1, Box 489                                  |
| 16. ZIP CODE                                 | 23827                                           |
| 15. NAME OF DECEDENT'S FATHER                | Sidney Turner                                   |
| 16. MAIDEN NAME OF DECEDENT'S MOTHER         | Corine Turner                                   |
| 17. RACE OF DECEDENT                         | Black                                           |
| 18. OF HISPANIC ORIGIN?                      | No                                              |
| 19. EDUCATION                                | Unknown                                         |
| 20. CITIZEN OF WHAT COUNTRY                  | USA                                             |
| 21. BIRTHPLACE                               | Virginia                                        |
| 22. MARITAL STATUS                           | Widowed                                         |
| 22. NAME OF SPOUSE                           | Ruby Lee Turner                                 |
| 23. USUAL OR LAST OCCUPATION                 | Ret. Farmer                                     |
| 24. KIND OF BUSINESS OR INDUSTRY             | Farming                                         |
| 25. INFORMANT & SOURCE OF INFORMATION        | Alvin Turner, Son                               |
| 26. RELATIONSHIP/MAILING ADDRESS             | Rt. #1, Box 489, Boykins, VA 23827              |
| 28. PART I, IMMEDIATE CAUSE                  | Coronary Artery Disease, Suspected Myocardial   |
|--                                            | Infarction                                      |
| 28a. DUE TO                                  | ASCVD (Coronary Artery Disease)                  |
| 28b. DUE TO                                  | S/P MI                                          |
| 28c. DUE TO                                  | COPD                                            |
| PART II - OTHER SIGNIFICANT CONDITIONS       | Atrial Fibrillation, Alzheimer's Dz             |
| PREGNANCY IN PAST 3 MONTHS?                  | No                                              |
| 27. EXTERNAL CAUSE                           | -                                               |
| 28c. DESCRIBE HOW INJURY RELATING TO DEATH   | -                                               |
| TIME OF INJURY                               | -                                               |
| 29. DATE OF INJURY                           | -                                               |
| 30. PLACE OF INJURY                          | -                                               |
| 31. AUTOPSY?                                 | No                                              |
| 31A. AUTOPSY AUTHORIZED BY                   | VA                                              |
| 32A. TIME OF DEATH                           | 8:00 PM                                         |
| 32B. DATE SIGNED                             | 1/17/91                                         |
| 32C. SIGNATURE OF PHYSICIAN                  | T. G. Gillian, Jr. MD                           |
| 32D. DATE SIGNED                             | 1-23-91                                         |
| 32E. NAME AND ADDRESS OF ATTENDING PHYSICIAN | John E. Jones Jr. MD, Doctor's Dr., Emporia, VA |
| 33. FUNERAL DIRECTOR                         | ENGRAHAM FUNERAL HOME, P.O. Box 317, Courtland, |
| |-                                           | Va.                                             |                                       | 34. PLACE OF BURIAL, CREMATION OR REMOVAL    | Pleasant Plain Bapt. Church Cem., Drewryville,  |
|--                                            | Va.                                             |
| 35. DATE OF BURIAL, CREMATION OR REMOVAL     | 1-20-91                                         |
| 36. REGISTRAR SIGNATURE                      | William M. Vaughan                              |
| 37. DATE RECEIVED                            | January 23, 1991                                |
| RESERVED FOR REGISTRAR'S USE                 | Lorna Knight, Deputy                            |
|----------------------------------------------|-------------------------------------------------|

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