No. DateofBunal Name of Deceased Residence ‘ :CMeath Date OfDeathi Clergyman 8 Signature , lG—étm131W%WSLN Wflq , 46¢qu1th\“%% mhq Church Record Qf Deaths - 4 14 ”WMWEK, 0% W: Dad-Hm W l/MJ M 31/77/ PC WzmrPC