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year:

Name of Deceased: First and Middle Name of Deceased: Last Address of Deceased Place of Death Physicians Name: First and Middle Physicians Name: Last Age at Death (Year) Date of Death (Month) Date of Death (Day) Name of Beneficiary: First and Middle Name of Beneficiary: Last Address of Beneficiary To Whom Paid: First and Middle To Whom Paid: Last Cause of Death
W. I. Chatman Phoenix Md President Hospital M. E Wilson 71 July 26 Ella Chatman Phoenix MD Ella Chatman Nephritis
Lucinda Huff 631 N. Chapel St Balt. City John [illegible] Rainey 60 Aug 11 Thomas Marshall 943 N Wolfe St Thomas Marshall Cardiac vascular disease
Rosie Hamlin Arlington Heights ^[illegible] Va Arlington Heights ^[illegible] Va C. K. Robbin 51 Aug 7 Ollie Hamlin 653 Sterling St Ollie Hamlin Uremia
Lillie R. Holland 1314 Edmonson ave Baltimore City Hospital V. W. Wright 23 Aug 6 Frances Chandler 700 Carey St Frances Chandler Diabetic Coma
Maltie Frazier 1739 W Hill ave Good Shepherd Hospital L. C. Harman 65 August 14 Rufus Frazier

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