| 25
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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Numbers of Civil Status Permits: 87 |
R 2 |
G... |
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Three scraps of the page, order uncertain |
21201? |
J... |
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98 |
R... |
G 6 |
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21202? |
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88? |
R 4... |
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21203? |
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G 3 |
R |
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R 3 |
G 2 |
R |
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R 19 |
G 12 |
F |
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R 19 |
G 3 |
G |
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R 19 |
G 13 |
F |
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R 2 |
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| 25 |