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Burial Permit No. 6158
Health Commissioner Denver Colo. Nov 26, 1888
Permission is hereby given for LW Rogers to remove for internment the remains of M. Rofheart.
Date of Death Nov. 23, 1888, White, Age 28.
Cause of Death : Peritonitis
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Transcription of text in document
1. Full name of Husband : Morris Rafheart
2. Full name of Father of Husband: Lazon "
3.Full name of Mother of Husband before marriage: Bessie "
4. Occupation of Husband: Mer
5.Residence of Husband: Mil Wis
6.Birthplace of Husband : Ra
7.Full name of wife previous to marriage: Esther Goldberg
8:Full Name of Father of Wife: Hermann Goldberg
9:Full name of Mother of Wife before marriage: Jette Goldberg
10.Birthplace of Wife: NY
11.Time when Marriage was contracted: June 27 '86
12.Place or town and county where marriage was contracted: Mil Wis
13.The color of the parties: Wh
14.By what ceremony contracted: Relig
15.Names of subscribing witnesses: Leo Goldberg (Leopold Berg)
Mozez Katz
16. Name of person pronouncing marriage: Isaac L Moses
17. Residence of person last named Mil
18. Date of certificate or affidavit of Marriage: June 27 '86
19. date of registration: June 28 '86
20. Any additional circumstances:
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