Coroner's Book

Previous Page

Next Page

Page Background

'

...il(eutnu <nnunty <nnrnuer�

!i

®ffire...

--�--=

�101

- -==

Inque�No.

Received Notice

_ lil�;!-

1

-

,

19

_

_ . ..:

,

Nalll

-;f,��

-

--.---.:

·

�

·

�,

,�

,

�

'

-'L_L_'�

'

·

=&

�

-

�

·

�·----- -----'----

Residence

- - · ··

- .. ··

-

-

�

-

A. M.

White-Colored-Male-Felllale. Age

4-St-vears

___ _

Months

Nativi

ty " 1 ��f �d-Single-Wid.Qw

-Wuia.wer.

How long in County?

__ ·-

Occupation

�

--- ----

P. M.

Days

Father

's Nallle_ ___

_________

Mother's Nallle

___ .

_

Estate_____-;------------�

Next Friend_ _ ___________

Place of Death

_;.,71/.

.

,

J:t.��1

/),,./,

{

Date of Death

r

Body Found

1

,,. ,..;./.

J�

.)

,

', -'-

f.=J

Place of Accident

.-

.....

--.�-,

... "' • ,

d.,

,

_,_, ... .,

u, ..

Nature Injuries

_______ ___ ___________

�-- - -

Cause of Death

. ,

....

v

•• ••

-

--

-

-

Post Mortelll

....

-

Nallles of Jurylllen

_

NallleS of Witnesses

,.

,�. ''

r

a

• • •

• , ' ' � •• , '

L

Undertake;�

�,U.,,j-4

�

f:;,

L....

Fees Paid

__

DESCRIPTION WHEN UNKNOWN

Height

Weight

Hair

--

Eyes_

Nose

Chin

Neck

Teeth

Beard

Mustache

Scars,

Marks,

Deforlllities,

Etc.,

Clothing

�----

-

-

-

-

----- - - -

-�

-

---- ---- -=�=

- -

I

Inq Na

Resi

\Vhi

Nati

�

I

a a t

Nat

Caus

Post

Naill

Nam

Und

Hei

g

l

Nose

Bear

Scar

Clot

Contents of Pockets, Etc.,

I

Cont

,, --.. -":'.!

�,,

,-,,.,• • ,.

- •-,.. •

'I

----,c,, • L'-' '

\.:..!/,-......,,� '""'

I

Rein

II

r

J

\

r

I

I

VERDICT: �)

r

ivvwr·-�

·:rr:o, .

f\l,l.11\

v

""eA'.l.&4U

9\ llYK) � //�

N\

i':J

I

VER

"

��