Laserfiche WebLink
(USE TWO LINES WHERE NECESSARY. ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition. -- <br /> FULL NAME OF DECEASED. ! AGE. <br /> NUMBER. DATE OF SEX. COLOR. `Whether sin- DISEASE OR CAUSE OF DEATH. <br /> DEATH. (If a married or divorced woman or a widow,give also I gle,married, <br /> maiden name and name of husband.) widowed or Years. Months. Days. (Primary and immediate cause.) <br /> n <br /> L7 7J <br /> 13 . <br /> 7"lue <br /> At 0z 4L <br /> 900 <br /> A <br /> -�` <br /> l90o <br /> 61W& may YA IS 7 1 ,9 <br /> ' a <br /> I i � <br /> 90/ I <br /> 9 <br /> omr/vv <br /> Alt <br /> c i <br /> f <br /> a <br /> s _ <br /> s <br /> I <br /> } <br />