Mary Jane Dunn Death Certificate-- March 7, 1922
(Transcribed by David B Dunn)




B.V.S. FORM 11


       NORTH CAROLINA STATE BOAD OF HEALTH                             214


BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH


 Registration No. 10
   
                                                   
 1. Place of Death : 
     County: Kenansville N.C.
2. Full Name: Mary Jane Dunn    (c) City or Town: Blank                                              
3. Sex: Female     4. Color: White     5. Marital Status: Widowed
5a. Husband: Ben Dunn    6. Date of Birth: Blank   7. Age: 71 Years
8. Trade: Blank      9. Industry: Blank   10. Last day worked: Blank
11. Total Time spent in this occupation: Blank  12. Birthplace: Blank
13. Name of Father: Elisha Sullivan   14. Birthplace: Duplin Co.
15. Name of Mother: Nancy Jane Blalock  16. Birthplace: Duplin Co.
17. Informant: Ransom Brock  18. Burial: Sarecta March 7, 1932
19 Undertaker Quinn McGowan   20. Filed 7-27-1932 D. N. Brock Registrar


        MEDICAL CERTIFICATE OF DEATH


21. Date of Death: March 6, 1932
22. I hereby CCertify that I attended deceased from March 1, 1932 to March 6, 1932.  I last
saw her alive March 6,  1932 deate is said to have occurred on the date stated above, at 5:00 
pm. The principal cause of death and related causes of importance in order of onset were as 
follows: 
Chronical Myorloctis(?)
23: Blank
24. Signed: G.V. Gooding Kennansville N.C.





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