HomeMy WebLinkAboutDeath Records Book 1, Pg. 40REGISTER OF DEATHS.
No- --- 34 3
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Male or Female, (/;'!y
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Color, Grwi�
_ Age,
Married or Single,
_ Place of Birth, 01
Occupation,
Date of Death, "TA
Place of Death, %' // ��Gei g'171
Street and No. where
Death occurred,
Cause of Death,
I _ Duration of Last Illness,
I I'lace of Interment,
Date of Interment,
Name of Father—if Minor,
O
Name of Mother—if Minor
When Recorded,
Remarks:
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-No.-34-4 ------
Name
Male or Female, ( 71
Color,
Age,
Married or Single,
Place of Birth,
Occupation,
Date of Death,
Place of Death,
Street and No. where
Death occurred,
Cause of Death,
Duration of Last Illness,
Place of Interment,
Date of Interment,
Name of Father—if Minor,
Name of Mother—if Minor,
When Recorded,
Remarks:
._ I
No. - r- –
Name, „(/
a
Male or Female
.,/</
,, Q
Color,
Age,
Married or Single
Place of Birth,
Occupation,
Date of Death, r/��'✓Y`L� / — 1/ / d�_'7 L
Place of Death,
Street and No. where
Death occurred,
Cause of Death,
Duration of Last Illness, Gr �0-a-1
'
Place of Interment, `–'/%�C�–vl� r
Date of Interment,
Name of Father—if Minor,
Name of Mother -if Minor,
When Recorded, /I
Remarks:
No. -3--t=-6-----
I
Name,etir�Lc�Gtiv'—
Male or Female,
Color,
Age,
Married or Single,
Place of Birth,
Occupation,
Date of Death,
Place of Death,
Street and No. where
Death occurred,
Cause of Death,
Duration of Last Illness,
Place of Interment,
Date of Interment,
Name of Father—if Minor,
"o
Name of Mother—if Minor,
�i
When Recorded,
Remarks: