PROOFS OF DEATH.

Certificate of Officiating Clergyman.

I, G. Thos. Bowen do hereby certify that I am the minister of the Episcopal Church of St. Ambrose at Barbados and that I officiated in my clerical capicity on the twenty seventh day of February 1885 at the funeral of Capt C. M. Marchant who died at Barbados on the twenty sixth day of February 1885, and that I know and recognize the remains to be the dead body of the said ___________________________ .

Sworn to and subscribed before me}
this _______ day of ______ 188_ } G. Thos Bowen

Undertaker's Certificate.

I, J. H. Lynch do hereby certify, that I am an Undertaker, residing at Barbados and as the Undertaker I attended the funeral of C. M. Marchant and that he was interred in Westbury Cemetery on the [JHL] 27th day of Feby 1885 and that I know and recognize the remains to be the dead body of the said C. M. Marchant

Sworn to and subscribed before me }
this _________ day of _________188_}J. H. Lynch

Friend's Statement.

Name of deceased,___________________________

Residence,___________________________

Occupation,___________________________

Were you present at the time of his death?___________________________

Where was he, and what was he doing?___________________________

Was he intoxicated, or under the influence of spirituous liquor at the time?___________________________

Did you see and recognize the remains of deceased die?___________________________

What was the age of deceased at time of death?___________________________

Was the deseased personally know to you?___________________________

Membership number as per certificate,

Sworn to and subscribed before me }
this ________ day of _________ 188 _}