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Sub-Enclosure to Enclosure 1.
CERTIFICATES OF DEATH.
C. O.
21227
I NOV 2
A. I the undersigned mereby certify that I have seen and
examined the body of
and who resided at
Quring his illness states death to have resulted from
was the cause of death.
have reason to believe
reported to be years of age
and the Doctor who attenuea hia
I
B. I the undersigned hereby certify that I have seen alu
examined the body of
age who resided at
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reported to be
years of
from enquiries I have made
I believe the cause of death was
C. I the undersigned hereby certify that I have attended
residing at
reported to be
years of age
and that the cause of death Was