— Submitted by Patricia Sistare Posted September 16th, 2000 by Myrtle Bridges
North Carolina State Board of Health
Bureau of Vital Statistics
Certificate of Death
Registrations District No. 43-5558
Certificate #3
1. Place of Death County: Harnett Co. Township: Hectors Creek
2. Full Name: James Stewart
3. Male
4. White
5. Divorced
6. Date of Birth not entered
7. Age not entered
8. Occupation: Farmer
9. Birthplace: Wake County
10. Name of Father: Joseph Stewart
11. Birthplace of Father: Wake Co.
12. Name of Mother: Barbara Cofield
13. Birthplace of Mother: N.C.
14. No informant listed
15. Filled Jan 10, 1919 W. J. C( ), Registar
16. Date of Death: Jan 5, 1919
17. I HEREBY CERTIFY, THAT I attended deceased from Dec. 20, 1918 to Jan 5, 1919 That I last saw h__ alive on _____, 1919 and that death occurred on the date above stated at 8 a.m. The CAUSE OF DEATH was as follows: Paralyses Duration yrs ___ mts ___ days 30 Signed Chas. E. Cheek, M. D. _____, 19__ Address __________
18. Length of Residence not listed
19. Place of Burial: Family Cemetery Date of Burial: Jan. 6, 1919
20. Undertaker: Robertson Address: Fuquay Springs
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