Frans Walschaerts, forty-nine year old, brick layer and Fidelis Amandus Van Landeghem, forty-two year old, fruit grower, both resident of Beveren, neighbours of the deceeased, they had explained that on twenty-seventh of this month, at six o'clock in the evening MARIA CLEMENTINE VAN OVERTVELDT, thrity-five year old, lace worker, born and lived in Beveren, daughter of JAN FRANCIS VAN OVERTVELDT, and SOPHIA HEIRBAUT, his housewife, both died in Beveren. Housewife of Josef Antoon Lantman, fifty six year old servant at a wagonbuilder, living in Beveren. She died in her house, situeted on the Meulenberg. We have formulate this certificate immediately and we signed, because the personality explaining that they aren't be able to sign, they are illiterate, after we read certificate.

(Meulenberg is a quarter of Beveren - note by Harry Truyman)

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