Death record 9 of 1907

d-1907-9 · Book: Death · Year: 1907 · Number: 9

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Transcription

Translator's Note: Surname read Fornal; in this hand 'rn' and 'm' look alike, so 'Formal' is possible. Status column 'wolna' (single in law: ritual marriage).
Death Date
18 Sep 1907
Death Place
Brzostek
Burial Date
20 Sep 1907
Burial Place
Brzostek
The deceased
Chane Fornal, without occupation, widow of a ritual marriage
Decedent Place
Brzostek, house 129
Sex
Female
Age
62 years
Marital Status
Single
Own Occupation
unemployed
Cause of Death
tuberculosis of the lungs, natural death
Cause of death (interpreted)
Tuberculosis
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