Coroner's Book

542 / 1028

...il(ruton (ltuunt y (lturonrr�s ®ffirr...
Inquest No·--�--- P. M.
Name H v .,.. ,......r r:""' ,,.,. ,. Residence \J
'2..J , 4·1 .._.....\ 1""v��>4,,-.---1-Yc..J""'""'---1:��"1---�-""'"""L '----'-��--------- -------------
__ _Months White-Oelo � Male--.Eeutele. Age l{:-Z... Years
Nativity �� How _long in County?__
Ml'l11i, .1-&i-a-g.1.e-Wia:(Hv-Widower. Occupation �,
Days
Father's Name Mother's Name_______________
Estate Next Friend________________
Place of Deathci( Date � Death �
Body Found t'1ll LT� C\.R_"-C�------
Place of Accident __ _ _
Nature Injuries _ � -�-
Cause of Death � ,_:_� Jr- � __ Post Mortem _ _ __ '. _ ,..
Names of Jurymen__ ___ _________ ____________ __ ___ ____
Names of Witnesses________ ________ ________________
Undertaker ,x� \ Ulf\lA:..OLl.:!X , &1 Fees Paid___
RIPTION WHEN UNKNOWN
Height._______ Weight____ _ _
Nose________ Chin________ Hair ____ Eyes___
Neck_ ____ Teeth_____
Beard Mustache________________�
Scars, Marks, Deformities, Etc., ________________ ___ __________
Clothing�== ====-- - ----------------- - - - -==========�
Contents of Pockets, Etc.,_____ ___ ___
Remarks:__________ _ _ _________--:-------------
VE RDICT: ___________________
Signed Coroner.
I
I
I
N
F
E
P
B
p
N
c
p
N
N
u
H N
s
Cl
c
R
\tI