Death certificate #3400, Civil Registry, The Hague, Netherlands

Death Certificate

3400

Today, the twenty fifth of December eighteen hundred ninety one, appeared before us, Officer of the Civil Registry of the Municipality of The Hague, Karel Lucretius Goedheer, twenty eight years old, messenger, and Engelbertus Heilbron, forty eight years old, without profession, both residing here. ___________________
Declaring, that Johannes Baptista Rietstap, without profession, residing here, has passed away on the twenty fourth of this month, in the morning at eleven o'clock, sixty three years old, born in Rotterdam, husband of Johanna Maria de Haas, son of Willem Hendrik Rietstap and Elizabetha Hermina Remmert, both deceased.
We have created this certificate and signed it, after recitation, with those present.

[witness] Karel L Goedheer
[witness] E Heilbron

[clerk] Willem van Hoogland