Preston Union Dunn-- Sept 6, 1944
(Transcribed by David B Dunn)
B.V.S. FORM 11
NORTH CAROLINA STATE BOARD OF HEALTH 232
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH
1. PLACE OF DEATH: Registration Dist. No31-50 certtificate No. 6
(a) County: Duplin 2. HOME (USUAL RESIDENCE) OF DECEASED:
(b) Township: Warsaw (a) State: N. C. (b) County: Duplin
(c) City or Town: Warsaw N.C. (c) City or Town: Warsaw N.C.
(d) Street, Hospital, institution: Blank (d) Street or Rfd.: blank
(e) length of stay in hospital or institution: Blank (e) is place of residence in corporate limits: yes
in this community Blank (f) if foreign born, how long in U.S.A.: Blank years
MEDICAL CERTIFICATION
3. (a) Full Name: Preston Union Dunn 20. Date of Death: Sept. 6, 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 Sept 3, 1944 to Sept. 6, 1944
4. Sex: Male 5. Color or Race: White and that I last saw him alive on Sept.5 1944
6. (a) Marital status: Married immediate cause of death: 1. Cerebral Hemorrage
(b) Name of Wife: Cornelia Ezzell Dunn duration 2 days
7. Birth of Deceased: March 28, 1866 22. If death was due to external causes, fill in the
following
8. Age: 78 Years 5 Months 9 days (a) Accident, suicide, or homicide: Blank
9. Birth Place: Duplin County (b) Date of occurrence: Blank
10. Usual Occupation: Carpenter (c) Where did injury occur: Blank
11.Industry or Business: Blank (d) Did injury occur about home, on farm, in industry
12. Fathers name: George W. Dunn place, in a public place: blank
13. Birthplace of father: Duplin Co. (e)means of injury: blank
14. Mothers Maiden Name: Susan Lassiter 23. Signature: J.N. Farrior
15. Birthplace of mother: Duplin Co. Address: Warsaw, N.C. Date Signed Sept. 25, 1944
16. (a) Informants Signature: Mrs. Cornelia Dunn
(b) Informants address: Warsaw, N.C.
17. (a) Burial Cremation or Removal: Burial
(b) Date Thereof: Sept 7, 1944
(c) Cemetery: Pinecrest
(d) Location: Warsaw N.C. .
18. (a) Funeral Director: Quinn-McGowan Co.
(b) Address: Warsaw, N.C.
19 (a) Filed: Oct.12, 1944 (b) Registrar: Sally E. Bowden
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