CO129-302 - Public Offices - 1900 — Page 632

dation.

Seal.

Name.

Age...

0.0.

22090

&..

PEG? 10 JUL 001

622

Copy of Medical Death Certificate.

.Nou-Sing-Hai.

40 years.

Residence and

Occupation. Member of the Chinese Legation.

Address.

.No.33 Serguievskaia.

Cause of death Heart disease and Catarrhal inflamma-

tion of the lungs.

Date of death..12th May, 1900 (o.s.)

Signature of Doctor,

(Signed)

Eppa.