Mar[ch] 2 1898. Masters, John. Male.
White.
Wid[owed].
69 [age].
England [Place of Birth].
Disease or Cause of Death - [I cannot read].
Occupation[Farmer].
Masters, England.[Name of father]
Masters England - [Name of Mother].
Dr. Graham, Stinchfield - [Name and Address of Attending Physician]
March 8, 1898 - [When Registered; Month, Day, Year]
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