Laserfiche WebLink
_01 - <br /> rS <br /> Form R-328. 2m-2-59-924805 <br /> ,.-7 U' l� � � r Of <br /> (USE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition AGE DISEASE OR CAUSE OF DEATH <br /> DATE OF <br /> FULL NA 51E OF DECEASED t,,eler sin- <br /> SEg COLOR gle,married, Prima and immediate cause.) <br /> NUMBER { (If a married or divorced woman or a widow,give also widowed,or Years Months Days <br /> : <br /> DEATH mn:aidename and name of husband) - divorced <br /> 77 <br /> 5 ` <br /> , <br /> 1 <br /> -- -- } t <br /> eje <br /> 3 a <br /> Lt/ 49 <br /> r � <br /> T <br /> j <br /> r � <br /> ! I _ <br /> r - <br /> j <br /> 1712, <br /> e <br /> ft <br /> IN <br /> till <br /> w <br /> ,o <br /> , <br /> �. <br /> I fit <br /> "i <br />