Marshal Benjamin Dunn Death Certificate-- July 19, 1944 DIVISION OF HEALTH SERVICES-VITAL RECORDS BRANCH

Marshal Benjamin Dunn-- July 19, 1944

(Transcribed by David B Dunn)

B.V.S. FORM 11



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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