Coroner's Book

585 / 1028

Days
...il(rntnn Qlnunty Qlnrnnrr�s ®ffirr...
�-101 �
Inquest No. Received Notice� W�'L - , 19�, /3 f. M. _ P . M.
Name_ �ln_� LA..� _ _
Resi<lcnce�I< 11
White-OeJmd-M�Je Female. Age Y Years - -�I/Months :::"<,,_ Days
Nativity �� V)qCYl How long in County?_ _ _ _ _ _
Mftrried=Single-Widriw--..Widower. Occupation_____ _ _ _------,----_ _ _ _ _______
Father's Name bnd./n nr?1
--
Mother's Name ���
Estate __ I'< Next Friend tc ,
Place of Death Z_Cd� ,� � Date of p� th ,----- -.,-- . ___ _ _ ___
Body Fonnd __f ,U_ " a/-.,..;:/ 1 lJ<� 12
Place of Accident I
Nature Injuries_
Cause of Death G1.e.-:na ,:Z::......__p �
Post Mo rtem \
Names of Jurymen _____________________________ _ _____
�ames of Witnesses_ _________________________________
li 11 <lertake.�--�=-=-· �-=-·· _ ___ _ _ Fees P aid_ _ _ _____
Height
Nose
Beard
DESCRIPTION WHEN UNKNOWN
Weight___ _ _ _
Chin_______
Hair _ _ _ _ _ _ Eyes.__ _ __ _
Neck Teeth___ _ __
Mustache_ ________ _______
Sea�, Marks, Defur1nities, Etc.,______ _ _____ __ _ _ _ ________
Clothing---- - �--------- -- - -= . ,
Contents of Pockets, Etc.,__ __ _ _ _ _
Remarks:__ _____ ____ _____ _______ _ _ _ _ ____ ___
VERDICT:____ _
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Signed Coroner.