Coroner's Book

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...if(rntnn Qlnunty <tinrnnrr�s .®ffirr� .. ..
_A.M. P. M.
White�l81."ed-MM'e-Female. _ _ . _Months ____ Days
Nativity______ _ __________ _ _ How long 111 County?__
Married-S+t,,g-le-�v-�er. Occupation ____fuou._____c ___,,_...,�-----------
Father's Name _______ __ __ Mother's Name ______________
Estate_______��- -pf___,_�--- - Next Friend______-----..--- -----
Place of Death�'���IT---�-· �'°'"""-- ------'M�,._____�_ v/..c___ Date of Death----111 4 % o1
I 9on
Body Found_�lli�L�d����bf�---,=------J____.._,Vl1,Q�'.,_______
Place of Accident ___ _ _______ _ _______
Nature Injuries____ ____ ___ ______ _ _ _ _
Cause of Death
Post Mortem--------·-- --- - ___
Names of Jurymen_______ _ ____________________ ___
- ---- - -- ---- ---- - - -
- --
------ --
Fees Paid_ ___
UNKNOWN
Height_ _ ____ Weight_ _ _ _ _ Hair________ Eyes____ _
Nose_ _ _ __ Chin_ _ _ _ _ _ Neck_ _____ Teeth_____
Beard_____ _ __________ Mustache________________
Scars, Marks, Deformities, Etc.,________ _ ________________
Clothing _______ ________ ___ _______________
Contents of Pockets, Etc.,_______________ _
Remarks:_______ __ _ ___ _ _ __ _ ______ _______
VE RDICT:_____ _ ____ _ ___ _________
Signed_· ___ ___ _ __ _ ____C-oroner.