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19�0,
Inquest
No(rft')A
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1
eived
Name
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/
Residence
/
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tl
A. M.
White-§dued-Male-Female. Age
Years
_ __
Months
---
P. M.
Days
ativity
How long in County?
________
Married-Single-Wid .
ow-�dower.
Occupation
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-
Father's Name
')It=
d/1'1/L,;"
Mother's Name
oJlaA/IA.iiJ:;;:
�.6d
Estate
I
Next Friend
_____________ _
Place of
Death
/o
3�
�.f..
el(
Date of Death
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,
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f.,u
Body Found
_
_
__
_
_
_
__
_
_
___ ______
_________
_
Place of Accident
ature Injuries
_ _____
_
Cause of Death
�tMortem
�
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ames of Jurymen
_
_ _
_ _
_
__
_
__
_
__
__
__
_
_
__ _______
_
__
'ames of Witnesses
__________________________________
_
Undertaker
�kt
�g
Fees Paid
_ ______
_
DESCRIPTION WHEN UNKNOWN
Height
Weight
••ose
Chin
Beard
cars, Marks,
Deformities,
Etc.,
Clothing
--
--
-
---
-
- -
Contents of Pockets, Etc.,
___
Rem � .rks:
11M1•
A"
_""
_
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� 'YhO« ?11.� " KJfV/
VERDICT:
l\fiAA
Hair
Eyes
_______
Neck
Teeth
_ ____
_
Mustache
Signed
Coroner.