Bylaag A12-Death Notice-Catharina Wilhelmina Marneweck
Metode: OCR ?? Marneweck Familie Argief
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Bladsy 1
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PURSUANT TO THE PROVISIONS CONTAINED IN SECTION 9, ORDINANCE No. 104.
BYLAAG A12
‘Be. mie nga fpr —
%. Birthplace of the Decewsed of gp La Lae
8. Names of the mae} Father of the Deceased. {tower
4. Age of the Deceased Le-PLeLe eta
5. Condition in life (occupation) _ secgerenscge B 7 §. Married or nes a JE Za Liasnsecet
Widower or Widow
(a) Name of Surviving Spouse . . RR pe aR RTE emery
(2) Name or names and approximate date of ( death of previous Spouse or Spouses (
7. The day of the decease: on _ a OO a
8. At what House or where the person died ~
9. Names of Children of Deceased, and ) whether majors or minors 5)
(Stating separately those born of different marriages,
10, Whether Deceased has left =r} Pritt ha-
. Property, and of what kind
The ws left i JS
Dated at_
me this Z x wp Ae. A 4
State in what