Death Certificate of Joyner, William Johnson Sr.

William Johnson Joyner Sr., age 84, died of La Grippe with old age as a
contributory factor on 28 Jan 1916 in Rich Square Township, North
Carolina. He was born 18 Jul 1831 in North Carolina to Elisha Joyner and
Sallie Futrell. He was widowed at the time of death. Burial took place
in the family burring ground on 29 Jan 1916.

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| Field                                   | Value                                   |
|-----------------------------------------|-----------------------------------------|
| PLACE OF DEATH County                   | North Carolina                          |
| PLACE OF DEATH Township                 | Rich Square                             |
| PLACE OF DEATH Town                     | [Illegible]                             |
| Registration District No.               | 66-8883                                 |
| Certificate No.                         | 3                                       |
| FULL NAME                               | William Johnson Joyner Sr.              |
| SEX                                     | male                                    |
| COLOR OR RACE                           | White                                   |
| SINGLE, MARRIED, WIDOWED, OR DIVORCED   | Wodowed                                 |
| DATE OF BIRTH                           | July 18, 1831                           |
| AGE                                     | 84 yrs. 6 mos. 10 ds.                   |
| OCCUPATION                              | Farmer                                  |
| EDUCATIONAL ATTAINMENTS                 | Common School                           |
| BIRTHPLACE                              | North Carolina                          |
| NAME OF FATHER                          | Elisha Joyner                           |
| BIRTHPLACE OF FATHER                    | Hertford Co.                            |
| MAIDEN NAME OF MOTHER                   | Sallie Futrell                          |
| BIRTHPLACE OF MOTHER                    | N.C.                                    |
| Informant                               | Alice Joyner                            |
| Address (Informant)                     | Conway, N.C.                            |
| Filed                                   | Aug. 8, 1916 (J Lassiter, Registrar)    |
| DATE OF DEATH                           | January 28th, 1916                      |
| Attended from                           | Jan. 20, 1916 to Jan. 28, 1916          |
| Last saw alive                          | Jan. 28, 1916                           |
| Time of death                           | 4:00 M.                                 |
| CAUSE OF DEATH                          | La Grippe                               |
| Contributory (Secondary)                | old age                                 |
| Signed (Physician)                      | N H Cooke, M.D.                         |
| Address (Physician)                     | Wooodland, N.C.                         |
| Date (Physician)                        | Jan. 28, 1916                           |
| PLACE OF BURIAL OR REMOVAL              | family burring ground                   |
| DATE OF BURIAL                          | 1-29-16                                 |
| UNDERTAKER                              | [Illegible]                             |
| Address (Undertaker)                    | George, N.C.                            |
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