Death record 3 of 1913
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Page scan: 1913_1-5.jpg.
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Transcription
- Death Date
- 30 Jun 1913
- Death Place
- Brzostek
- Burial Date
- 1 Jul 1913
- Burial Place
- Brzostek
- The deceased
- Moses Siegfried, son of Joseph and Shayndel with unknown maiden name, in Brzostek
- Decedent Place
- Brzostek, house 129
- Sex
- Male
- Age
- 90 years
- Marital Status
- Widowed
- Cause of Death
- senile atrophy
- Cause of death (interpreted)
- Old Age
- Relationship
- son of
- Register Remarks
- I certify that the duplicate agrees with the original. Pilzno, 7 Jul 1913 [signature], Imperial-Royal secretary of the Governorship.
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