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Status: Needs Review

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
... Numbers of Civil Status Permits: 87 R 2 G... Three scraps of the page, order uncertain
21201? J... 98 R... G 6
21202? 88? R 4...
21203? G 3 R
R 3 G 2 R
R 19 G 12 F
R 19 G 3 G
R 19 G 13 F
R 2

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