Death Certificate of Alonzo Paul Wyatt Jr

Alonzo Paul Wyatt Jr. died of pneumonia, Serratia and Actinomyces
infection, and chronic bronchitis with emphysema on 30 Oct 1991 in
Virginia Beach, Virginia, at age 76. He was born 18 Jul 1915 in Virginia
to Alonzo Wyatt Sr. and Okledean Price. He was widowed, last resided at 8
Pollock Dr., Virginia Beach, and was a car operator for the railroad.
His spouse was Virginia Wyatt.

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| Field                                                  | Value                                                     |
|--------------------------------------------------------|-----------------------------------------------------------|
| REGISTRATION DISTRICT NUMBER                           | 228                                                       |
| REGISTER NUMBER                                        | 1174                                                      |
| STATE FILE NUMBER                                      | 91-038546                                                 |
| 1. NAME OF DECEDENT                                    | ALONZO PAUL WYATT JR.                                     |
| 2. DATE OF DEATH                                       | October 30, 1991                                          |
| 3. SEX                                                 | M                                                         |
| 4. IF UNDER 1 YEAR                                     | -                                                         |
| 5. IF UNDER 1 DAY                                      | -                                                         |
| 6. DATE OF BIRTH                                       | JUL 18, 1915                                              |
| 7. WAS DECEDENT EVER IN U.S. ARMED FORCES?             | Yes                                                       |
| 7. NAME OF HOSPITAL OR INSTITUTION OF DEATH            | Sentara Bayside Hospital                                  |
| 8. COUNTY OF DEATH                                     | -                                                         |
| 9. CITY OR TOWN OF DEATH                               | Virginia Beach                                            |
| 10. INSIDE CITY LIMITS?                                | Yes                                                       |
| 11. ADDRESS                                            | 800 Independence Blvd.                                    |
| 12. STATE OR FOREIGN COUNTRY                           | Virginia                                                  |
| 13. RESIDENCE: CITY/TOWN                               | Virginia Beach                                            |
| 14. INSIDE CITY OR TOWN LIMITS?                        | Yes                                                       |
| 15. ADDRESS                                            | 8 Pollock Dr.                                             |
| 15. RESIDENCE: COUNTY                                  | -                                                         |
| 15. ZIP CODE                                           | 23462                                                     |
| 16. NAME OF DECEDENT'S FATHER                          | Alonzo Wyatt Sr.                                          |
| 16. MAIDEN NAME OF DECEDENT'S MOTHER                   | Okledean Price                                            |
| 17. RACE OF DECEDENT                                   | White                                                     |
| 18. OF HISPANIC ORIGIN?                                | -                                                         |
| 19. EDUCATION                                          | 10                                                        |
| 20. CITIZEN OF WHAT COUNTRY                            | USA                                                       |
| 21. BIRTHPLACE                                         | Virginia                                                  |
| 22. NEVER MARRIED, NOW MARRIED OR WIDOWED, OR DIVORCED | Widowed                                                   |
| 23. USUAL OR LAST OCCUPATION                           | Car Operator                                              |
| 24. KIND OF BUSINESS OR INDUSTRY                       | Railroad                                                  |
| 25. NAME OF SURVIVING SPOUSE                           | Virginia Wyatt                                            |
| 26. PART I IMMEDIATE CAUSE                             | Pneumonia, Serratia and Actinomyces species               |
| 26a. DUE TO OR AS A CONSEQUENCE OF                     | 9 days                                                    |
| 26b. DUE TO OR AS A CONSEQUENCE OF                     | Chronic bronchitis & emphysema                            |
| 26c. DUE TO OR AS A CONSEQUENCE OF                     | 6 years                                                   |
| 27. PART II                                            | -                                                         |
| 28. AUTOPSY PERFORMED?                                 | No                                                        |
| 29. AUTOPSY AUTHORIZED BY                              | -                                                         |
| 30. TIME OF INJURY                                     | -                                                         |
| 31. WHERE DID INJURY OCCUR?                            | -                                                         |
| 32. PREGNANCY IN PAST 3 MONTHS?                        | -                                                         |
| 33. IF EXTERNAL CAUSE                                  | -                                                         |
| 34. DESCRIBE HOW INJURY RELATING TO DEATH OCCURRED     | -                                                         |
| 35. ACTUAL OR PRESUMED                                 | 1:05 AM                                                   |
| 36. DATE SIGNED                                        | November 1, 1991                                          |
| 37. SIGNATURE AND TITLE OF ATTENDING PHYSICIAN         | George I. Grayson, M.D., 816 Independence Blvd,           |
|--                                                      | Virginia Beach VA 23455                                   |
| 38. NAME AND COMPLETE ADDRESS OF FUNERAL HOME          | Smith and Williams Funeral Home Inc.                      |
| OR CREMATORY                                           | -                                                         |
| 39. METHOD OF DISPOSITION                              | Burial                                                    |
| 40. PLACE OF DISPOSITION                               | Forest Lawn Cemetery, Norfolk, Va.                        |
| 41. NAME AND ADDRESS OF PERSON SUPPLYING INFORMATION   | Smith and Williams Funeral Home Inc. 818 Norview Ave.,    |
|--                                                      | Norfolk VA 23509                                          |
| 42. NAME OF REGISTRAR                                  | Nancy S Huff                                              |
| 43. DATE FILED                                         | November 4, 1991                                          |
| 7. WAS DECEDENT EVER IN U.S. ARMED FORCES? (checkbox)  | Yes (checked)                                             |
| 10. INSIDE CITY LIMITS? (checkbox)                     | Yes (checked)                                             |
| 14. INSIDE CITY OR TOWN LIMITS? (checkbox)             | Yes (checked)                                             |
| 28. AUTOPSY PERFORMED? (checkbox)                      | No (checked)                                              |
|--------------------------------------------------------|-----------------------------------------------------------|

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