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FORM No. 7.]
IS
DISTRICT OF COLUMBIA,
No. 212 42 Street N. W.
Washington, D. C.Sept. 3'
1880
A TRANSCRIPT from the RECORD OF DEATHS in the District of Columbia.
NAME OF DECEASED.
DATE OF DEATH.
AGE OF DECEASED.
Henry Mason
March 15! 1880
45 years
HOW LONG RESIDENT IN DIS-
CONDITION.
BIRTHPLACE
TRICT OF COLUMBIA.
Coloved. Married.
Maryland
18 years
DURATION OF LAST SICKNESS.
CAUSE OF DEATH.
PLACE OF DEATH.
2 mos
bhrone c Dysenting
No. 2435. K
St.
with
PLACE OF BURIAL.
MEDICAL ATTENDANT.
UNDERTAKER.
Mt Olivet
Soshwon yas I J.B.Binch
DEPA
A True Copy
the the
Health f Officer and
Registrar.
ATTEST:
Joneyann
Chief Clerk.
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"ocrText": "FORM No. 7.]\nIS\nDISTRICT OF COLUMBIA,\nNo. 212 42 Street N. W.\nWashington, D. C.Sept. 3'\n1880\nA TRANSCRIPT from the RECORD OF DEATHS in the District of Columbia.\nNAME OF DECEASED.\nDATE OF DEATH.\nAGE OF DECEASED.\nHenry Mason\nMarch 15! 1880\n45 years\nHOW LONG RESIDENT IN DIS-\nCONDITION.\nBIRTHPLACE\nTRICT OF COLUMBIA.\nColoved. Married.\nMaryland\n18 years\nDURATION OF LAST SICKNESS.\nCAUSE OF DEATH.\nPLACE OF DEATH.\n2 mos\nbhrone c Dysenting\nNo. 2435. K\nSt.\nwith\nPLACE OF BURIAL.\nMEDICAL ATTENDANT.\nUNDERTAKER.\nMt Olivet\nSoshwon yas I J.B.Binch\nDEPA\nA True Copy\nthe the\nHealth f Officer and\nRegistrar.\nATTEST:\nJoneyann\nChief Clerk."
}