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Cemetery Registered Number |
Names of Deceased |
Name of deceased (indenture number) |
Age |
Sex |
Place of Birth |
Date and place of death (date) |
Date and place of death (time of day) |
Date and place of death (place) |
Cause of death |
Married or Single |
Widow or Widower |
Names of declarants of Death |
Date of Burial |
Pauper Burial |
Private Burial |
Number of row and grave (row) |
Number of row and grave (grave) |
Square or Section |
Remarks |
Transcriber Comments |
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In an.. C. F. Edwar.. |
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Syrta... Nou... |
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| 2
Cemetery Registered Number |
Names of Deceased |
Age |
Sex |
Place of Birth |
Date and place of death (date) |
Date and place of death (time of day) |
Date and place of death (place) |
Cause of death |
Married or Single |
Widow or Widower |
Names of declarants of Death |
Date of Burial |
Pauper Burial |
Private Burial |
Number of row and grave (row) |
Number of row and grave (grave) |
Remarks |
Transcriber Comments |
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In an.. C. F. Edwar.. |
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Sif?ta N?u |
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