Death record 3 of 1904

d-1904-3 · Book: Death · Year: 1904 · Number: 3

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Page image showing death records covering #3 of 1904

Page scan: 1904_1-4.jpg. Click to enlarge.

Transcription

Death Date
28 Mar 1904
Death Hour
300
Death Place
Opacionka
Burial Date
30 Mar 1904
Burial Place
Brzostek
The deceased
Chiel Roth, unemployed in Opacionka
Decedent Place
Opacionka, house 72
Sex
Male
Age
86 years
Marital Status
Single
Own Occupation
unemployed
Own Residence
Opacionka
Cause of Death
old age
Cause of death (interpreted)
Old Age
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