Benjamin Jackson Dunn-- Feb 15, 1918
(Transcribed by David B Dunn)


B.V.S. FORM 7

                   NORTH CAROLINA STATE BOAD OF HEALTH                208       
           
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH


1. PLACE OF DEATH:                                                      
    County: Duplin                 Registration Dist. No. 315388  Certificate No. 7
     Township: Kenansville
2. FULL NAME: Benjamin J. Dunn
      PERSONAN AND STATISTICAL  PARTICULARS                          
3. SEX: Male     4. COLOR: White   5. Marital status: Married                 
6. DATE OF BIRTH :  Sept. 18, 1834   7. AGE: 83 YEARS 4 MONTHS 17 DAYS
8. OCCUPATION: Farmer                                              
9. Birthpace: Johnston County N.C.
10. FATHERS NAME: Blank   11. BIRTHPLACE OF FATHER: Blank
12. MOTHERS MADEN NAME: Blank  13.BIRTH PLACE OF MOTHER: Blank
14  THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
      (informant) F. L. Potter  (address) Ken.
15. FILED: March 25, 1918, D. N. Brock Registrar

     MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH: 	Feb. 5 ,1918 
17. I HEREBY CERTIFY, That I attended deceased from Blank to Blank   
                                             I last saw him alive Blank.  Death is said to 
                                             have Occurred on the date stated above, at Blank 
                                             pm. THE CAUSE OF DEATH: Died without any 
                                             medical attention at all.
19. PLACE OF BURIAL, CREMATION, OR REMOVAL: J. J. Grady Cemetery Feb. 6, 1918
20. Undertaker: R. C. Jones  Kenansville N.C.





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