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I~ ^ r : ~ ~ 4 2{. ~:r ~~i I 7 t;J~~~ i~J~ W'F I ,p' V 1~4 1~. ' ~`.a G ~ Inwrt In th~~ DEATH within the district of the British_ con~u: __at ~?~I,•~~; ~l~ i'iorc~ m In anr note~ Re + _ ~~orl;in~ery' Wheo aod whae I ~k, Dro ~ssion oi'' r uvc'up on and Raidcncc at the timc 5i uture, descn tion, and Si~naturc of consular ~ ~ Name and sumama Sex. A~c, cfaim to citiun~hip of thc Unital ~ W'hcn rcgistercd. Kingdom and Coionia, of dcath. nsiclenco ot in ormanG otTiac. ~ f11 f~i 13l (4) (61 18} ; 171 ~ ~ (8) 191 I .o -1 , a.. ~ . . • . .,.i. , ~ t ~ ~ ~ . ' ~ ~ 'V , . T, , /..1 (1' ~ 7 . ; ' ~ r, , ~ ~ ~ ,,n ~ ? rc~~ Q . : r ~ i . ~ . . - ~F-rr ~ ~ . , ~ .7 : ~ Yl : . ~ i', ' ~ , , ~ ~ r . ' . i ~ ~ ~ . ~ ~ ~ i. . ' ~ ~ ~ ~ , i:" . , CM ~ ~ _~I . . 'J...~ . ,r.~ . . . ~ ~ 1/,: ~ ~ _ ~ ~ . ' 1 ~ „ • . ~y ~f' -~,i ' . ~ v ~i t'. ' ~ r~ ~ ~ . . . ~ ~ ~ , , • , , ~ ' . , . ~ ~ j, lai.^uel Font 'iv~:s '~l~x.~'lfQn?Jtt'•1~~Ly'd °ri . ~~'r~ 'icu 'n~. .:1 p! :'~;~:n,~ !'.~:1?0: c~l , c1a hereby cellify , that this is a true copy ojthe entry ojthe dea~h oj ~ ~ ~ ' ,~No. , in 1he regrster book of dc~aths kept at ~his , `r Consulute. Witness mv hand and seal, this ~:~.rti; da ~I:iv ,1916. • y f 1 ~ e;. ~ ~ ,aR, ~ i ~4~ ~ ~~I ~ lik. .i~~~ u1 ~i ~y Y I P N S ~ K, x N a f ...~,~u,eourwaaxne~rtAam~naeaJ;m1~4~~4dYflMk:6tU4Rf34~A.~TG~B"YdY~1A5~Gxt..,~4~'.G,.Src,a'71i~EL"~tiffi7~iT~.eAC'~.`~1'eii~;~.s;x~.~.~d+~~`~,'..~~f~{~c%X.fu,~~~ k