BRON: Bylaag A22-Death Notice- Willem Jacobus Johannes Marneweck.pdf
METODE: OCR
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WP Ge TE A os genie sustains an Death Book NO....+.+ccceeee a is eres Soe ei
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1. Name of the deceased. J? 77 a

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sirthplace of thedeceased. Bre 1 OC Gel. br, Orage if

3. Names of parents. ian § Kemer

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widower or widow, men-
tioning other marriages if
any have existed. —

3. Married or unmarried, pore
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G. Nameof surviving spouse, 4a ii

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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
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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.

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Names must be written owt tr fall, and eee

date of birth of each minor given.

The deceased has left will,
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Dated at. COfh 2. hacté

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State in what Capacity.

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10. Whether deceased has left any ( , ,
property, and of what kind.
Tt value over £100. | Z
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J, Name of the deceased eft LILLE ree ; YE tie pee a a Ceti")
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2. Birthplace of the deceased 47 }
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3. Name of the Parents of \ Father <<" — . - a 2
the deceased, ae
Mother =~ ; \ \
Age of the deceased of years months. 4
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5. Condition in life (oceupation) — .
6. Married or aeabaa e-
Widower or Widow. : a tn | a 7
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(a) Name of surviving spouce. aan = a, — a ee , = = . ;
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(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
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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
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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
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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,
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Dated at. oF 1, (OLE As
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State in what Capacity.
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rained in "The Administration of
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Mathes Cleese ee tRC Joeare ance
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bee years ee months _

surviving

or not Bacece ce ae ae ae Jee
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36 and acuor meena
sh of pre-dece fe)

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9.Names of Children of decease, )
and whether majors or mincrs
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: writta Phenrcle Whaca, febewhece Meare
(utipice it)
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any mov able property -- Ja elect aoe his g 2 j
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any immoveple property. ie
the estate excedds £100 alue |

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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

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Ccured in tns country Gis

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In Quplicats,within fourteen days of th

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