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Bertha Lee Troutman Beal- Certificate of Death

North Carolina State Board of Health
Bureau Of Vital Statistics

Standard Certificate of Death

Place of Death - County: Forsyth        State- N.C. 
City- Winston- Salem  If death occurred in Hospital or Institution- Memorial Hospital

Full Name: Bertha Beal
Residence: 2510 Sunnyside Avenue

Personal And Statistical Particulars
Sex: Female - Color or Race: White - Single, Married, Widowed or Divorced: Married
If married, widowed or divorced, Husband or Wife of: G.W. Beal
Date of Birth: May 21 1893
Age: 33 years 2 months 8 days
Occupation of deceased: Domestic
Birthplace: South Carolina
Name of Father B.J. Troutman
Name of Mother: Ida Williams
Birthplace of  Father: South Carolina
Birthplace of Mother: South Carolina
Informant: Mr. G.W. Beal
Address: City
Filed- 8-2-1926 Registar: R.L. Carlton, M.D.    

Medical Certification of Death
Date of Death: July 29 1926
I hereby certify, That I attended deceased from July 23 1926 to July 29, 1926
that I last saw her alive on July 29 1926 and that death occurred on the date stated above at 1 p.m.

The cause of Death was as follows:
Lobar Pneumonia

Signed: A.C. Masten, M.D.
7-30-1926 Winston-Salem, N.C.
Place of Burial: Union Ridge  Date of Burial: 7-31-1926
Undertaker: Vogler & Sons  Address: City