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P. M.
Inquest No.
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'2.- £.
Received Notice
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Name
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Residence
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White-
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Female
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Age
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ears
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Montbs
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Days
Nativity
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How long in County?
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M,i11iHl--SM1r,+r Widow-
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Occupation
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Father's Name
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Mother's Name
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Estate
Next Friend
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Place of Death
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Date of Death
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Body Found
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Place of Accident
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Nature Injuries
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Cause of Death
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Post Mortem
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Names of Jurymen
_____________
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Na01es of Witnesses__________________ --'c- ----------------
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Undertaker
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Height.
___ ___
Weight______ _
Nose.
________
Chin
____
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Hair
__
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Neck_
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Eyes.
__
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Teeth
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Beard__________________
Mustache_______ _ _________
Scars, Marks, Deformities, Etc.,
___
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______
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_______
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Clothing
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Contents of Pockets, Etc.,
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Remarks:
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_____ _
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VE RDICT:
__________________
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Signed
Coroner.
Inqu Nam Resi
Nati
Marr
Fath Estat Place
Body
Place
Natu
Cause Post
Name
Name
Uncle
Heigh Nose
Beard
Scars,
Clothi
Conte
Rema
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