Death Certificate of Whitlock, Matthew Bentine

Narrative summary of the form data:

Matthew Bentine Whitlock, age 81, was born 6 Oct 1896 in Virginia to
Edward W. Whitlock and Martha Pearson. He resided at 236 Weaver Avenue,
Emporia, Virginia. He was widowed, spouse Clara Bradshaw Whitlock. He
died 22 Jun 1978 at Greensville Memorial Hospital, Emporia, Virginia.
Cause of death was central vascular accident due to hypertensive and
arteriosclerotic cardiovascular disease.
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| Field                                           | Value                                                                               |
|-------------------------------------------------|-------------------------------------------------------------------------------------|
| 1. FULL NAME OF DECEDENT                        | Matthew Bentine Whitlock                                                            |
| 2. SEX                                          | Male                                                                                |
| 3. DATE OF DEATH                                | 22 June 1978                                                                        |
| 4. DATE OF BIRTH                                | 6 October 1896                                                                      |
| 5. AGE                                          | 81                                                                                  |
| 6. IF UNDER 1 YEAR                              | [blank]                                                                             |
| 7. IF UNDER 1 DAY                               | [blank]                                                                             |
| 8. WAS DECEDENT EVER IN U.S. ARMED FORCES?      | Yes                                                                                 |
| 9. BIRTHPLACE (U.S. STATE OR FOREIGN COUNTRY)   | Virginia                                                                            |
| 10. USUAL RESIDENCE OF DECEDENT                 | Weaver Avenue, Emporia, Virginia                                                    |
| 11. PLACE OF DEATH (HOSPITAL OR INSTITUTION)    | Greensville Memorial Hospital                                                       |
| 12. CITY OR TOWN OF DEATH                       | Emporia                                                                             |
| 13. COUNTY OF DEATH                             | [blank] (Emporia is an independent city)                                            |
| 14. STREET ADDRESS OR RT. NO. OF PLACE OF DEATH | 435 Brunswick Ave.                                                                  |
| 15. ZIP CODE OF PLACE OF DEATH                  | 23847                                                                               |
| 16. NAME OF FATHER OF DECEASED                  | Edward W. Whitlock                                                                  |
| 17. NAME OF MOTHER OF DECEASED                  | Martha Pearson                                                                      |
| 18. BIRTHPLACE OF FATHER                        | U.S.A., Brunswick Co., Va.                                                          |
| 19. KIND OF BUSINESS OR INDUSTRY                | Merchant                                                                            |
| 20. MARITAL STATUS                              | Married                                                                             |
| 21. NAME OF SPOUSE                              | Clara Bradshaw                                                                      |
| 22. INFORMANT OR SOURCE OF INFORMATION          | Clara B. Whitlock                                                                   |
| 23. CAUSE OF DEATH (PART I, IMMEDIATE)          | Central vascular accident                                                           |
| 24. DUE TO                                      | Hypertensive cardiovascular disease                                                 |
| 25. DUE TO                                      | Arteriosclerotic cardiovascular disease                                             |
| 26. INTERVAL BETWEEN ONSET AND DEATH            | 2 days (central vascular accident); 5-10 years(hypertensive/arterioscleroticdisease)|
| 27. AUTOPSY AUTHORIZED                          | No                                                                                  |
| 28. TIME OF DEATH                               | 4:20 p.m.                                                                           |
| 29. SIGNATURE OF ATTENDING PHYSICIAN            | Wilson B. Sprekle, M.D.                                                             |
| 30. DATE SIGNED                                 | 28 June 1978                                                                        |
| 31. PLACE OF INJURY                             | [blank]                                                                             |
| 32. BURIAL, REMOVAL, CREMATION                  | Burial                                                                              |
| 33. PLACE                                       | Emporia Cemetery, Emporia, Virginia                                                 |
| 34. NAME OF FUNERAL HOME                        | Echols Funeral Home, Emporia, Virginia 23847                                        |
| 35. SIGNATURE OF FUNERAL DIRECTOR               | [Illegible] Echols                                                                  |
| 36. DATE FILED                                  | 28 June 1978                                                                        |
| 37. SIGNATURE OF REGISTRAR                      | Clara T. Powell, Deputy                                                             |
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