Death Certificate of Mattie May Whitley

Mattie May Whitley, age 73, died from coronary occlusion due to coronary
atherosclerosis with hypertension and arteriosclerotic cardiovascular
disease on 31 Mar 1962 at Louise Obici Memorial Hospital, Suffolk,
Virginia. She was born 29 Feb 1889 in Southampton Co., Virginia to
George Washington Drake and Martha Elizabeth Johnson, was widowed, and
resided in Suffolk, Virginia. Her spouse was Hollis Everett Whitley.

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| Field                                         | Value                                                   |
|-----------------------------------------------|---------------------------------------------------------|
| REGISTRATION AREA NUMBER                      | 161                                                     |
| CERTIFICATE NUMBER                            | 104                                                     |
| STATE FILE NUMBER                             | 8692                                                    |
| 1. FULL NAME OF DECEASED                      | Mattie May Whitley                                      |
| 2. DATE OF DEATH                              | 3-31-62                                                 |
| 3. AGE OF DECEASED                            | 73                                                      |
| 4. SEX                                        | Female                                                  |
| 5. COLOR OR RACE                              | White                                                   |
| 6. NAME OF HOSPITAL OR INSTITUTION OF DEATH   | Louise Obici Memorial Hospital                          |
| 7. CITY OR TOWN OF DEATH                      | Suffolk, Virginia                                       |
| 8. COUNTY OF DEATH                            | Nansemond                                               |
| 9. STATE OF DEATH                             | Virginia                                                |
| 10. R.F.D.                                    | 4                                                       |
| 11. RESIDENCE: STATE                          | Virginia                                                |
| 12. RESIDENCE: COUNTY                         | Nansemond                                               |
| 13. RESIDENCE: CITY/TOWN                      | Suffolk                                                 |
| 14. R.F.D. OF RESIDENCE                       | 4                                                       |
| 15. NAME OF FATHER OF DECEASED                | George Washington Drake                                 |
| 16. MAIDEN NAME OF MOTHER OF DECEASED         | Martha Elizabeth Johnson                                |
| 17. CITIZEN OF WHAT COUNTRY                   | U.S.A.                                                  |
| 18. MARITAL STATUS                            | Widowed                                                 |
| 19. NAME OF SPOUSE                            | Hollis Everett Whitley                                  |
| 20. BIRTHPLACE OF DECEASED                    | Southampton Co., Va.                                    |
| 21. DATE OF BIRTH                             | Feb. 29, 1889                                           |
| 22. USUAL OR LAST OCCUPATION                  | Rtd. Waitress                                           |
| 23. KIND OF BUSINESS OR INDUSTRY              | Cafeteria                                               |
| 24. INFORMANT                                 | Mr. Perry O. Whitley, Rt. 1, Suffolk, Va.               |
| 25. PART I. DEATH WAS CAUSED BY (IMMEDIATE)   | Coronary occlusion                                      |
| 25a. DUE TO                                   | Coronary Atherosclerosis                                |
| 25b. OTHER SIGNIFICANT CONDITIONS             | Hypertension, arteriosclerotic cardiovascular disease   |
| 26. INTERVAL BETWEEN ONSET AND DEATH          | 4 days                                                  |
| 27. AUTOPSY                                   | No                                                      |
| 28. DATE OF DEATH (MEDICAL CERTIFICATION)     | 3-31-62                                                 |
| 29. TIME OF DEATH                             | 3:58 A.M.                                               |
| 30. SIGNATURE OF PHYSICIAN                    | Phillip R Newman                                        |
| 31. DATE SIGNED                               | 3-31-62                                                 |
| 32. ADDRESS OF PHYSICIAN                      | Chuckatuck, Va.                                         |
| 33. BURIAL, REMOVAL, CREMATION                | Burial                                                  |
| 34. PLACE OF BURIAL OR REMOVAL                | Newsoms Cemetery                                        |
| 35. LOCATION                                  | Newsoms, Virginia                                       |
| 36. FUNERAL DIRECTOR SIGNATURE                | I. O. Hill                                              |
| 37. ADDRESS OF FUNERAL DIRECTOR               | Suffolk, Va.                                            |
| 38. REGISTRAR SIGNATURE                       | Helen R. Thompson                                       |
| 39. DATE RECEIVED BY REGISTRAR                | 4/2/62                                                  |
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