Bylaag A22-Death Notice- Willem Jacobus Johannes Marneweck
Metode: OCR ?? Marneweck Familie Argief
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WP Ge TE A os genie sustains an Death Book NO....+.+ccceeee a is eres Soe ei ? i
‘ ; g m 1. Name of the deceased. J? 77 a
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late” sirthplace of thedeceased. Bre 1 OC Gel. br, Orage if
3. Names of parents. ian § Kemer
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cy 4, Condition in life. aig a wet
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widower or widow, men- tioning other marriages if any have existed. —
3. Married or unmarried, pore ‘
G. Nameof surviving spouse, 4a ii
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g fox, nce 7. Date of the decease. pe a we
&, Place of decease. Z ee Gore La é ne 7
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~ Whether there is a Will. aad
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10. What property left. ee ) ire i 9) . 2 aoa: 11. Cause of death. oP ete FA © ul: 2
12. Names of child 7 iF 2 . Names of children. Lyatete, Ra as EE Ar dn (ae
Medical Officer.
Deadwood Camp, WA ~f*- Yo aay a we nv fe

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S ecbetsesyh choses poss
cecels rhrewse Bebe OL ATP CME vi — Names must be written owt tr fall, and eee
date of birth of each minor given.
The deceased has left will, Lafl
Dated at. COfh 2. hacté
Le
. fre oo 7 Wits wlltpee es er aan AGB
State in what Capacity.
4 10. Whether deceased has left any ( , , property, and of what kind. Tt value over £100. | Z aad a |

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20% . Oe oo mm BYES, - . J, Name of the deceased eft LILLE ree ; YE tie pee a a Ceti") ° G G see re . a as 2. Birthplace of the deceased 47 } : ; ls Se . j
Part LF Zs
a 3. Name of the Parents of \ Father <<" — . - a 2 the deceased, ae Mother =~ ; \ \ Age of the deceased of years months. 4 i 5. Condition in life (oceupation) — . 6. Married or aeabaa e- Widower or Widow. : a tn | a 7 for (a) Name of surviving spouce. aan = a, — a ee , = = . ; UW, oy” “Zs Li J Ae Pome LL RAELSD Ome Core ee LEC Td tile é Aa (b) Name or names and approximate dete of ( death of previous spouse or spouses. } pe > The day of the decease: On _____ ci a ee ; en -_ 190 7 . SE: hes 8. At what house or where the person died ae IEA Jepeie = - 9. Names of Children of deceased, and | eo : Lhe : whether majors or minors. ) ° aie A el el dior nn z i Stating separately those born of different a 4 ey, marriages. k- > Names wust be written out in full, and ee date of birth of each minor given. il a 1 oe prt. LO ‘i PA 2 a wo LE : ea 7 B eet ” ra ZL “2 Deiteda 2 Dash ceo Behe. SELL
10. Whether deceased has left any | property, and of what kind. Tf value over £100. |
The deceased has left will, y eS Dated at. oF 1, (OLE As fe i State in what Capacity. a Pa “

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rained in "The Administration of om
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bee years ee months _
surviving
or not Bacece ce ae ae ae Jee (ee ey
36 and acuor meena sh of pre-dece fe)
y 9.Names of Children of decease, ) and whether majors or mincrs AE J v : writta Phenrcle Whaca, febewhece Meare (utipice it) Za eee 7 _ Shruwtirke..— ~
any mov able property -- Ja elect aoe his g 2 j js Z ss CMS 7. J. 2
any immoveple property. ie the estate excedds £100 alue |
FM E Maggs
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This xcticg mast be filled up and signed by the nearest relative oar Con neceti djeceased who shall at the time be at or near vt é lace ot | me et near relative or connection by tho 3 eytes the death shall have the sates charge .
which the death shall occur,and must be
urt in Pretoria,or it the death Magistrate af the district , leath.
aithes <7 the Mast SLL02S = wne Master
ricts , th
& pu 3 XY Ccured in tns country Gis
a In Quplicats,within fourteen days of th
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