| COMMONWEALTH OF VIRGINIA CERTIFICATE OF DEATH # 543 |
|
| NAME OF DECEASED: | Celiney Alexander Decker |
| SEX: | Female |
| DATE OF DEATH: | March 10, 1966 |
| AGE: | 69 |
| COLOR OR RACE: | White |
| NAME OF HOSPITAL: | DePaul Hospital |
| ADDRESS OF HOSPITAL: | 100 Kingsley Lane Norfolk, VA |
| STATE OF RESIDENCE: | Virginia |
| ADDRESS OF DECEASED: | 1158 Larchmont Crescent Norfolk, VA |
| FATHER OF DECEASED: | George Alexander |
| MOTHER OF DECEASED: | Not given |
| NAME OF SPOUSE: | Elias M. Decker |
| CITIZEN OF WHAT COUNTRY:USA | |
| MARITAL STATUS: | Widow |
| BIRTHPLACE OF DECEASED: | Beirut, Lebanon |
| DATE OF BIRTH: | July 15, 1896 |
| USUAL OCCUPATION: | Housewife |
| INFORMANT: | George M. Decker |
| PRIMARY CAUSE OF DEATH: | Acute myocardial infarction with complete heart block |
| DUE TO: | Hypertensive arteriosclerotic heart disease |
| INTERVAL FROM ONSET: | 4 hours |
| CONTRIBUTING CONDITION: | Diabetes Mellitus |
| ATTENDING PHYSICIAN: | (illegible) |
| PLACE OF BURIAL: | St. Mary's Cemetery, Norfolk |
| FUNERAL DIRECTOR: | H. D. Oliver Funeral Apts. Norfolk, VA |
| REGISTRAR: | Charles M. Sawyers |
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