John Henderson Dunn -- August 12, 1978
(Transcribed by David B Dunn)
SOURCE: NORTH CAROLINA DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES-VITAL RECORDS BRANCH
CERTIFICATE OF DEATH
Name of Deceased: John Henderson ~ Sex: Male ~ Date of Death: Aug. 12, 1978
Color: White ~ State of Birth: N. C. ~ County of Birth: Duplin ~
Date of Birth: March 2, 1918 Age at last Birthday: 60 ~ Place of Death County: Duplin ~
City or Town: Kenansville ~Name of Hospital: Duplin General Hospital ~
Inside city limits: Yes ~ Resident State: N. C. ~
Resident County: Duplin ~ City or town: Magnolia ~Rfd: P.O. Box #333 ~
Inside city limits: Yes Citizen of what country: U. S. ~ Single, married,
widowed or divorced: married ~ Surviving Wife: Leona Driver ~
S.O.C.: 238-22-4293 ~ Occupation: Service Station ~
Kind of Business or Ind.: Operator ~
Father’s Name: Marshal B. Dunn ~ Mothers Maiden Name: Mattie Sandlin
Informants Name and address: Mrs. Leona Driver, Box 333, Magnolia N. C.
Relation to Deceased: Widow
Conditions if any, which gave rise to immediate cause stating the underlying cause last:
Myocardial Infarction (Acute), Atherosclorotic Heart Disease, 2 prior Heart Attacks ~
Approximate interval between onset and death: Years ~
Other significant conditions: Obesity-Hypertension ~ Autopsy: no
Was case referred to Medical Examiner: No
Certification Physician: I attended to the deceased from 05-18-1956 to 08-12-1978
last seeing him alive 08-11-1978
signed C. L. Quinn, MD Date signed 08-19-1978 address: Magnolia N. C. 28453.
Burial, Cremation, or other: Burial ~ Date: 8-14-1978 ~ Name of Cemetery: Devotional Gardens~
Location: Warsaw, N. C. Rt. 2 ~ Funeral Home: Community Funeral Home, Warsaw N. C. ~
Date Rec. By Reg. : 8-22-78 ~ Signature of Registrar: Gail Sikes Dept. Reg. ~
Signature of embalmer: Illegible ~ License No.: FSL 515
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