North Carolina Board of Health
Registration District: 44-70
Certificate: 21818
Name of Deceased: Roy H. Leftin
Date of Death: Jun 24, 1972
Sex: Male
Color or Race: White
State of Birth: North Carolina
Date of Birth: July 29, 1899
Age: 72 years
Place of Death: County: Haywood; City or Town: Waynesville; Name of Hospital or Institution: Haywood Co. Hospital.
Usual Residence: Street Address: 51 Ballew Street; City or Town: Canton; County: Haywood; State: North Carolina
Married
Surviving Spouse: Mae Marrow
US Citizen
Usual Occupation: Southern Railway
Father’s Name: Alonzo Loftin
Mother’s Maiden Name: Cornelia Lowrance
Informant Name & Address: Mae Loftin – 51 Ballew Street, Canton, North Carolina
Immediate Cause of Death: Shock heart failure, duration: 1 hour; due to Acute myocardial infarction, duration: 6 hours; due to Coronary Therosclerosis, duration: 1 year
“I attended the deceased from 1968 to July 24, 1972 and last saw him alive on June 24, 1972. Death occurred at 11:15pm on the date stated above and in my opinion, from causes stated” Signature of Certifier: R. Fedite, M.D., Waynesville, NC. June 27, 1972.
Burial: June 26, 1972
Cemetery: Bethelem United Methodist Church, Statesville, North Carolina
Funeral Home: Ralph M. Crawford Funeral Home, Inc., North Main Street, Canton, N.C.
Signature of Funeral Director: Dorothy B. Crawford, License #741
Signature of Embalmer: Ralph M. Crawford, License #372
Date rec’d by local reg: June 29, 1972
Signature of Registrar: Haywood co. Health Dept.
(Source: Transcribed from original death certificate by Linda Rodriguez
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