545 / 1028
P. M
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Inquest
No.
Received Notice
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P. M.
White Celeted-Male-�. Age
7
K Years
Months
Days
�ativity �
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Marricd-�e-
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·Occupation
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Father's Name
Mother's Name.
________ _____
Estate
Next Friend.
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Post Mortem
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Names of Jurymen
_____ _________________
,_______:_______
;,;ames of Witnesses____________________ ________________
Uudertaker ��o1J�
�£�
Fees Paid
________
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Height
Nose__
DESCRIPTION WHEN UNKNOWN
\Veight
________
Hair
__
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Chin
___ _____
Neck
_ ___ _
Eyes
_ _ _ _
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Teeth
______
Beard
Mustache
_________________
_
Sea�, Marks, Defurmities, Etc.,�-------------- -----------------
Clothing
Contents of Pockets, Etc.,
__
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Remarks:
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_______
VERDICT:_______ ____________
Signed
Coroner.