Laserfiche WebLink
I <br /> r � , <br /> Form R-328. 2m-2-59-924805 <br /> t <br /> of / CSL <br /> (L'SE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> R FULL NAME OF DECEASED Condition AGE DISEASE OR CAUSE OF DEATH <br /> NUMBER DATE OF ��hether sin <br /> DEATH (If a married or divorced woman or a widow,give also SEX COLOR g!e,married, <br /> widowed,or Years Months Days (Primary and immediate cause.) <br /> 1 f maiden name and name of husband.) divorced <br /> s <br /> .41 --— <br /> } <br /> i <br /> 1 <br /> 13 -J. -( <br /> f is J e A rh it <br /> T ` / <br /> I <br /> � -AJ c'2 _ � Nf __.-_/�-__ w—_- /1ZRR2��_ _ __ _� CA <br /> !_ �°D R a �U Rtl T ro_+a� a S IS <br /> { ____ _____—________��___.__.__. �.�_____�. - �Y pe._r._�ew_al✓_e �.9�'d��v���Ar disc � <br /> F <br /> Q <br /> N <br /> Lv <br /> COP <br /> r <br /> 'jj �hG:��`�- _ <br /> •- 7 <br /> 14 <br /> x i�j r <br /> i <br /> q /1 <br /> 4 <br /> x, <br /> .0 <br /> V <br /> R <br /> 1 <br /> j <br /> l <br /> � w <br /> j r i <br /> I 4 <br /> _x <br /> a <br /> 4 � �� <br />