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
Decedent (prose)
Chiel Roth, unemployed in Opacionka
Decedent Place
Opacionka, house 72
Sex
Male
Age
86y
Marital Status
Single
Own Occupation
unemployed
Own Residence
Opacionka
Cause of Death
Old Age, old age
Adjudicated Cause of Death
Old Age
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