Marshal Benjamin Dunn-- July 19, 1944
(Transcribed by David B Dunn)




B.V.S. FORM 11




                                                   NORTH CAROLINA STATE BOAD OF HEALTH                             269




BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH




1. PLACE OF DEATH:                                                      Registration Dist. No. 82-11  Certificate No. 11
    (a) County:  Sampson                                                    2. HOME (USUAL RESIDENCE) OF DECEASED:
    (b) Township: Piny Grove                                                    (a) State: N. C.        (b) County: Sampson
    (c) City or Town: Faison                                                      (c) City or Town: Faison
    (d) Street, Hospital, institution: Blank                                   (d) Street or Rfd.: Rt. 2 
    (e) length of stay in hospital or institution: Blank                   (e) is place of residence in corporate limits: Blank
    in this community Blank                                                     (f) if foreign born, how long in U.S.A.: Blank years
                                                                                                      MEDICAL CERTIFICATION
3. (a) Full Name: Marshal Benjamin Dunn                           20. Date of Death: July 19, 1944                       
    (b) if veteran, name war: blank                                       21. I certify that death occurred on the date above stated; that                             
    (c) Social Security No.: Blank                                              I attended deceased from Feb. 12, 1943 to July 22, 1944
4. Sex: Male        5. Color or Race: White                                and that I last saw him alive on July 22, 1944.
6. (a) Marital status: Married                                                    immediate cause of death: 1. Cavicureoma of Cole
    (b) Name of Wife: Mattie Susan Dunn                                                                              Duration 1-2 Years
7. Birth of Deceased: July 7, 1889                                      22. If death was due to external causes, fill in the following:
8. Age: 55 Years 0 Months 15 days                                            (a) Accident, suicide, or homicide: Blank
9. Birth Place: Duplin County                                                    (b) Date of occurrence: Blank
10. Usual Occupation: Farming                                                  (c) Where did injury occur: Blank 
11.Industry or Business: Blank                                                   (d) Did injury occur about home, on farm, in industry 
12. Fathers name: Henderson Boyette Dunn                                     place, in a public place: blank
13. Birthplace of father: Duplin Co.                                            (e)means of injury: blank
14. Mothers Maiden Name: Martha Sullivan                         23. Signature: C. Oliver
15. Birthplace of mother: Duplin                                                 Address: Warsaw, N.C. Date Signed July 25 1944
16. (a) Informants Signature: Henry Dunn
      (b) Informants address: Faison, N.C.
17. (a) Burial Cremation or Removal: Burial
      (b) Date Thereof: July 24, 1944
      (c) Cemetery: Brock
      (d) Location: Serecta, Duplin co.
18. (a) Funeral Director: Quinn-McGowan Co.\
      (b) Address: Warsaw, N.C.
19  (a) Filed: Aug.8, 1944 (b) Registrar: Mrs. John W. Jackson





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