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1•ht statement of t}x causr of ;.caret, Item iy in the l~euica! Ctrit~wti:x:, is d.:a:~;rsed to nsake it ~otat;.k fur t'.:•t ~hy'sai9n tc~
tiro; ~7itc ;zis to:);jr;tmt of the re}at:otas!:,(r of t}x eausPa to each otht. r. Piet v. caster in Part 1 (a) th,r tare Ae.s~€g:s tt-ra x. that is. ttu dirsa it
~r ustsrry t}:at dcrr_tly cxus_d death Tlx ;srstecrdrrf ccctditt<xls ~ahith yavt rise to the irztrstedratc caert Lhovld bt enttrtd ors li::tt (b)
a;:4 (.~. the Upherlysnp caux, nF.,ch trait:t,ted the train of trt,tta tta:dr;tg' to dr:th, Ittsng enurtr_! tact.
i~~•:h Carssr sn Yar± i me:ar have ~:=nt rase to t}te causr cvt the I:rt at+cve it. l} kt ))utsr jtdgtr.rrtt the rdiseast nr rnJur, er;tercd in
ltrn, 7 !i) auk «ateiy des; ribrs th.c cause of death, r>.? cntr:rs twt~.1 is nude ot, litms i fk•) aztd 1 ii)
Ft,otcr err}Y,n:x iausi cut a i:ne
F:lte: i'art i! any vt})rr ttdr,;ticant cc.~edttiext .ch;eh srtfas:,rahly o~fivtrscty t}te course of tier n::,rFNd proC<ss s=xl thQt e, s:
tntwtcd t.:,~thc lira! er!ti,~ine, sour sass rn:~t related to t?ti: dtuasc or ccxs;rtron citrectf~ causzrtg drat}:.
\\'r:tr ictlit,ly ur t.pcwrttt s=:~ that t !cxa! rcgsstrar, a~ho to moat caxa is tax a medtcaliy trairstd pcrt~t, vt}} bt abie tc col,. thri
n,cd,cal .rruf::an.:n to h:- :,ay'tai re3ntrr corn-ctls If _.r;ur s:gnatu+< is usually illrgiba, [`tint or type yet>>r tl3rrt._ under tt
7'd U?dI"f1k1'AF;EtZ~ -- k; }C}'I.ANAT2C7>4 OF Sr??dE Qt' Tots TTf~i1:Ii; I;: "};lI1~ T)Tal.:#-t L'~RTIYtICAT~.
Item, .r.c the cxac't l:ii;c anci is-.$th of stay to the crty, tt:iage or ta.:n ~}:ert l1•rr draih ciirurrtd If tt ociurrcd c.-. a trt:n
thcr c<~m:r.cu•• carrir., the r,antt of the rtgistrx":,'r: u,str:rt wlare the tx><iv F<as rcr::,red tract the coifrr.~n carrier sh_~ad he rrtcrc3
a~ tix piact ,. :oath
Itc;11 X 7'hc c;tt t:l'ia{r „r ti:v<r• ..}.c:e the deceased i,ad hts usua•s rest:lcrxe should lse entettcl here rtgardltss of hC•K !~•rg ht
E,,:i rrsrdri en the icrr.n.ututy IS. sure to c:uer :check ntar4 u, vrtr of the twn t~txcs it: Item c-d ~aite e{ttn tht ~'~'.atc>~e tddress is a
;.t. car <,!iaat w~hiic the its:ucrcc .s oc:±s:tit the rnrlr::atc Itm:ts of t}tat cite r..r stSLagc. In the latter ease. ttlQ Crte",r n:.3r4 thotilQ :.t tn-
. rr,i .., the tk•z nur•sc.". "n,," 1"hc an~Nrr ,. I!tn; 2~t should )x Fasrd u:i the common urxScrstandtng of w}ut p farm is
lterrt ~. ii th; dtrta<:cS <. a tc:ar~ttd ar-..~rcrd, nr =•-:ri~,hni .,on~ac. her oss+r hu! rsartu st;ouid ?x tittered arul rwE her husL3snd <
..... r.a r:x
Ire-:: i "i hr a:tua' •.;atc v: •.ita+'. tF::.u~+. }~• cr.tcrr.k :! .. ;s defin:tclt 4n•,.<r: ~'- }:tr. x dca,.! htiriy' is fo;rnd. t},e entry sh:;u!d g,vc
• :tart ~..hcr the F.~;i~ :~av ,.,un~S
! i,.. 'l; <~. 1 i`}~r ~,t tr iS ytif Sr. tt~ F_a >iC tt~._-.nt St:: t', S~ A. r??{fi=Yn
i:.tnt f :ui:,r .,. race sn..u.;. grvrn a< :S a< sin• .imr.:•ar, r:d:xn. S F
..,sh i:al:ar: sh•,u'rS tx:^ f~ t;~.r,i
}ten: IO T}:c age .. ,i.r ~!r•, caved .,•.~uid sgrre v. ah ':':c riatc of t,trti: rn !urr 9
Item i2. ~I he rntry u: 'h,s .may }x drficrcnt !con: tha! to term Ii Fr,r tnstancr tf t:.t dtccascd uss .=>;n sr. Italy- anti seas ar.
'~:•~r-a ar. ':zrr t.~ ~:a;ur.~.: ~..- tFr rntr•. :n ltrrn i' s`:nu`d be ita`<' a::.i r.; tan; :~. '•i•n:ttd ~t •ic~" If.. f:u~: rv~er, t't:r dcc ex sr.i
ri:i .. t.`Yr: /.2tUrai,trii. tiu ts~.turs ;n h;,ti~: ttcnu iI and `: s.^.r>uiu ix "1'3~~ •~
Item I3 It .. ~.Seceas.~+, eh,r;ted hie ,.ei:;}x;tt:-r: sh:,tti~_ txi err ~icat'r, ;~r ,f i,e• }:ar'. •et:re~i .i;e r. ;r•_ shoui4 aerate the k:rc; of wr;r:
~.r ,tun^;F n::~a ut rr::-. rti:~c:rr !: (: }•tfo!c t.`:f t':Ltj~r cir rc!r!cmrn;
Item .t3. .fin rntrv sh,,u':d auv~z tx ride en the first slacc if :he de:c-ased had at any t;rnc [~ttrt Ir. the L` ~ :~rm,,i, Eurics. t he
...MCA Stl:::.:;ti i,c "<r<.." ~}:r r.a rrtr ~,i 'hr t. u. rv the tiers sshrn }r wa< to <rr<:CC, should iK s: r.ttt': rn ttx ucr~-sd sl~rcc If he ha:!
...c: ±~cn n: m;htas~ ones or had strtc~! tr• t},r .<vat:irna': l;u:.rd ur <=,m.r other ~ta•c m:l:!ar} org..r.:taucx: .:ten ,r uezf not fr~ero
rr<;i tar ar,:t:~er si _Kilt3 [?C ~ .K, '
Itttn 25-a The Lctnsr.i ana reg:sttr!•i fur.crai ~iirrcr,~; or ^ndcrtairr wren hits rhea cerhftcatt mus+. sign his e.•.=r. r.ar„c anti give
:s ;;rt+~.::.. -...ern! ii;ennrai ktbutrah~~r: nutni;cr
Ittm 75-h. linter r.~tr.c of Fuarral f`.s:a};i:s}trnent actually han:Sl:n4 ..^erai Ir,cit:dr Iht :urren; Vtv. Perk >utr Itirnn :'
! rain.,. r. .:rate rr :,, the estabishmer•.t tl ,t is S;:ensrrS .~: u;xratc t:, the Stzte ref ':.r, Y%:re
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rr.,~.: ltr sh.~u'd tw r.thcr t~tK«r.ttrr:.:r t. r.r~.!;Sy w nth ....ra?;!r b!J<4 :n}; i` a rmstairt has extra n:=ar m fsi!,nx ,
. ~ r?-. .~.' fr-i:'r.!.Yt 1nr >rai{t t•r. *^'lxff ~I. `%+! fr~lf~.~ '%tr f~i:., i! ...t!rrr It,. Cr!:I:fa!r \?S~:U;.i (r dt }: r~ a~.7 J ~:t'.,