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Death Certificates

 


 

DEATH CERTIFICATE

Page 14

1st Part

Column 1: Ledger Entry #: 9

Column 2: Date death reported and name of person reporting.

Dr. Kleiner ( Weiner ?) reported the death on 7 March (lll) 1934
Column 3: Death details:
Time : / Day: 7 / Month: March / Year: 1934 / Place: Sokolow / House #: 385
Column 4: Burial details:
Time : / Day: 9 / Month: March / Year: 1934 / Place: Sokolow
Column 5: Deceased
Sara Beller of Sokolow
Place of death: Sokolow
Residence: Sokolow / House #: 385

 

 

2ed Part

Column 6 Gender

Female 

Column 7: Age:
Year: 1 / Month 3 ( child 1 and 3 month old)
Column 8: Status
Single / wife / widow: non applicable
Column 9:
Disease / cause of death: Pneumonia
Column 10: Remarks: 
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