I can see that the father's name is C. A. Carter at No. 10 on the Death Certificate.
Here are other possible interpretations:
Line 9 - Van Buren County, Iowa [birthplace of Alice Bell]
Line 11 - can't read town [of father's birth] but state is Virginia
Line 12 - mother's name: Martha E. and could be Kirving or Kerving, or Kerwing or Kirwing.
Hope this helps.