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Inquest N 9; �-
Received Notice
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Age
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Months
Days
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Nativity
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How long in County?_
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Occupation
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Next Friend
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Place of Death
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Name��
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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Names of \Vitnesses__________________________________
Undertaker
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Fees Paid
DESCRIPTION WHEN UNKNOWN
Height
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Hair
Eyes
Nose
Chin
Neck
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Teeth
Beard
Mustache
Scars,
Marks,
Deformities,
Etc.,
Clothing ____________________
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Contents of Pockets, Etc.,
___________
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Remarks:
________ _ ________________________
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VE RDICT:
________________ _____ ___
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Signed
Coroner.
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