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DETAILED DEATH INFORMATION
REGISTRATION NUMBER: 1924-020462

DECEASED DETAILS
Last Name: THIESSEN
Given Names: JACOB Sex: MALE
Date of Death: 03/05/1924Time of Death:
PLACE OF DEATH DETAILS
Name of Hospital:
Place of Death: RM RHINELAND
USUAL RESIDENCE
Address:
City, Town, Village, Rural:
Province: Country:
MARITAL DETAILS
Marital Status: Surname of Husband or Maiden Name of Wife:
 First Names of Spouse:
OTHER DETAILS
Occup./Task:
BIRTH DETAILS
Date of Birth: Age At Death: 078Units of age: YEARS
Place of Birth:
Province: Country:
PARENT'S DETAILS
FATHER'S MOTHER'S
Last Name: Maiden Last Name:
Given Names: Given Names:
Place of Birth: Place of Birth:
0
INFORMANT'S PARTICULARS
Relationship to Deceased:
Address:
DISPOSITION DETAILS
Disp. Type: Burial/Disp. Date:
Place:
Address:
BURIAL PERMIT DETAILS
Issued By:
Address:
FUNERAL DIRECTOR DETAILS
Name:
Address:
 
Date of Registration: