Laserfiche WebLink
.o, <br /> (USE TWO LINES WHERE NECESSARY. ALL NAMES TO BE GIVEN IN FULL.) <br /> DATE OF FULL NAME OF DECEASED. Condition ! AGE. <br /> Whether sm DISEASE OR CAUSE OF DEATH. <br /> NUMBER. If a married or divorced woman or a widow, SEX COLOR <br /> DEATH. ( give also !gle,married <br /> maiden name and name of husband.) widowed or ' Years. Months. Days. (Primary and immediate cause.) <br /> --— —---- --- -- ----—----- divorced. <br /> AR# <br /> 17 <br /> S <br /> t i <br /> I i <br /> mac.. <br /> f i E <br /> `-17 <br /> n ddd444! � t�X�32Ll.1�"s•%� <br /> - —� �� �— s <br /> + .3 <br /> 2- -30 I <br /> C2 <br /> g�7 <br /> fbtn" UWVL <br /> r Gl,P�-cam. ice- Afl- 7� <br /> t r}�- - <br /> 9 31 ate,,,•. �� � .. <br />