MONTGOMERY COUNTY, NC - VITALS - Herman Greene Death Certificate
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Herman Greene Death Certificate

North Carolina State Board of health
Office of Vital Statistics
Certificate of Death
Registration District No. 34-95 Local No. 201
Name of Deceased: Herman Wingate Greene
Date of Death: 1/27/1971
Sex: M
Color or Race: W
State of Birth: N. C.
Date of Birth: 9/26/09
Age: 61
Place of Death: Forsyth Co.
City or Town: Winston Salem
Name of Hospital: Baptist Hospital
Inside City Limits: Yes
Married
Surviving Spouse: Mildred Johnson
USUAL RESIDENCE
State: N. C. 
County: Montgomery
City or Town: Mt. Gilead
Address: P.O. Box 546
Inside City Limits: No
Citizen of what Country: U.S.
Social Security Number: 242-07-1893
Usual Occupation: Minister
Father’s Name: H. W. Greene
Mother’s Maiden Name: Mattie Thompson
Informants Name: Mrs. Mildred Greene
Death Caused by: Cardio Respiratory Arrest
Probable Acute Myocardial Infection
Hypertensive Cardio-Vascular Disease
Other Significant Conditions: Right lower lung Pneumonia; 
Questionable T.B.

Signed by: R. G. Austin, Jr., MD on 1/27/1971
Burial Wadeville Baptist Cemetery
Date: 1/29/71
Funeral Home: Ingram & McAulay, Mt. Gilead, NC