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Q. Names Christian names and full postal addresses of one
or more relatives of the patient; A. Patient states Mr.George Gamble, 9 Clarke's Bridge, Cork City Ireland
(his brother).
Q. Name of the person to whom notice of death to be sent
and full postal address if not already given; A. Mr. George Gamble as above.
(Sa. )H. E. Fulford,
Police Magistrate.
True Copy.
(Sa.) E. H. Burrows,
Chief Clerk.
Wh 7