1913 Death of Salomon Hefler
|
|
English |
Polish |
Translation |
|
|
1. |
Sequential number |
23 |
23 |
|
|
2. |
Date and registration number of the document of the post-mortem inspection certified by the proper authority and the name of the person performing the post-mortem inspection |
L?. 65 Kobylowloki 3/12/1913 Jankiel? Jamna, widz zwłok
Kobylowłoki |
#65, Kobylowłoki, 3 December 1913, by Jankiel? Jamna, corpse viewer of Kobylowłoki |
|
|
3. |
Death |
hour day month year Place and house No. |
gebr. 6 prsed? ? trzeci? grudzień? 1913 Kobylowloki |
6 p.m. 3rd December 1913 Kobylowłoki house #1 |
|
4. |
Burial |
day month year Place |
czarty? grudzień? 1913 Janow |
4th December 1913 Janow |
|
5. |
Deceased |
Name and Surname, status, occupation, also
name, occupation and place of residence of parents |
Salomon Hefler niezamężna, kasjernia
gorzelnicza w Kobylowlokach
syn rzekomych rodziców Chuny i Pesi Hefler
zamieszkała w (Kolorowze?)
karolowce? w domu #1 |
Salomon Hefler, unmarried, distillery cashier in Kobylowłoki, son of alleged parents Chune and Pesa Hefler, laborers of Kolozówce/Kolozówka?, residing in Kobylowłoki at house #1 |
|
Residence |
||||
|
House number |
||||
|
6. |
Sex |
male |
x |
x |
|
female |
||||
|
7. |
Age |
years |
66 |
66 |
|
months |
||||
|
8. |
Status |
single |
x |
x |
|
married |
||||
|
widowed |
||||
|
9. |
Illness and type of death |
wada serca? |
Heart defect |
|
|
10. |
Remarks |
|||