Death Certificate of Brown Sr, James Walter

James Walter Brown Sr. died on 30 Jun 1953 in Gatesville, Gates County,
North Carolina. He was born on 14 May 1878 in Gates County, North
Carolina to Oliver Brown and Frances Corbitt. At the time of his death,
he was 75 years old, married, and worked as a farmer. The cause of death
was coronary occlusion. His burial took place on 2 Jul 1953 at Zion M.E.
Church in Gates County, North Carolina.

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| ID   | Section                                    | Field Description                      | Value                               |
|------|--------------------------------------------|----------------------------------------|-------------------------------------|
| 1    | Header                                     | Certificate Number                     | 14059                               |
| 2    | Header                                     | Registration Date                      | Jul 8, 1953                         |
| 3    | Header                                     | District No.                           | 37-00                               |
| 4    | 1. Place of Death                          | County                                 | Gates                               |
| 5    | 1. Place of Death                          | City or Town                           | Gatesville                          |
| 6    | 1. Place of Death                          | Hospital or Institution                | None                                |
| 7    | 2. Usual Residence                         | State                                  | N.C.                                |
| 8    | 2. Usual Residence                         | County                                 | Gates                               |
| 9    | 2. Usual Residence                         | City or Town                           | Gatesville                          |
| 10   | 3. Name of Deceased                        | First                                  | James                               |
| 11   | 3. Name of Deceased                        | Middle                                 | Walter                              |
| 12   | 3. Name of Deceased                        | Last                                   | Brown Sr.                           |
| 13   | 4. Date of Death                           | Month                                  | June                                |
| 14   | 4. Date of Death                           | Day                                    | 30                                  |
| 15   | 4. Date of Death                           | Year                                   | 1953                                |
| 16   | 5. Sex                                     | Male                                   |                                     |
| 17   | 6. Color or Race                           | White                                  |                                     |
| 18   | 7. Marital Status                          | Married                                |                                     |
| 19   | 8. Date of Birth                           | May 14, 1878                           |                                     |
| 20   | 9. Age                                     | Years                                  | 75                                  |
| 21   | 10a. Usual Occupation                      | Farmer                                 |                                     |
| 22   | 10b. Kind of Business or Industry          | Farm                                   |                                     |
| 23   | 11. Birthplace                             | Gates Co., N.C.                        |                                     |
| 24   | 12. Citizen of What Country                | U.S.A.                                 |                                     |
| 25   | 13. Father's Name                          | Oliver Brown                           |                                     |
| 26   | 14. Mother's Maiden Name                   | Frances Corbitt                        |                                     |
| 27   | 15. Was Deceased Ever in U.S. Armed Forces | No                                     |                                     |
| 28   | 16. Social Security No.                    | No                                     |                                     |
| 29   | 17. Informant's Name and Address           | Mrs. May L. Brown, Gatesville          |                                     |
| 30   | 18. Cause of Death                         | Disease or Condition Leading to Death  | Coronary Occlusion                  |
| 31   | 18. Cause of Death                         | Interval Between Onset and Death       | Instant                             |
| 32   | 19. Other Significant Conditions           |                                        |                                     |
| 33   | 20. Autopsy                                | No                                     |                                     |
| 34   | 21. Accident, Suicide, Homicide            |                                        |                                     |
| 35   | 21. Place of Injury                        |                                        |                                     |
| 36   | 22. City, Town, County                     |                                        |                                     |
| 37   | 23. Injury Occurred                        |                                        |                                     |
| 38   | 24. Burial, Cremation, Removal             | Date                                   | July 2, 1953                        |
| 39   | 24. Burial, Cremation, Removal             | Name of Cemetery or Crematory          | Zion M.E. Church                    |
| 40   | 24. Burial, Cremation, Removal             | Location                               | Gates Co., N.C.                     |
| 41   | 25. Funeral Director                       | Name and Address                       | Bouncers & Horten, Gatesville, N.C. |
| 42   | Signature                                  | Certifier                              | W. W. Wozone, Coroner               |
| 43   | Certifier's Address                        | Gatesville, N.C.                       |                                     |
| 44   | Date Signed                                | 6/30/53                                |                                     |
| 45   | Registrar's Signature                      | Junius R. Harrell                      |                                     |
| 46   | Registrar's Date                           | 7/6/53                                 |                                     |