THE SECRETARY TO THE RUSSIAN PROTECTOR IN THINGS AND IN MORAVA, PRAGUE, inv. 2162, sig. 109-8/45

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English Translation

Appendix 4 to St 17-101-25 11. Place of suicide or the discovery of the suicide (in rural areas below or where there is the possibility of an accident or suspicion of killing by another hand and "seller", among others. It is essential to avoid this; instead of this, "cigarette factory worker", "seller in colonial goods- Z u Fr a g e 10: For general information, especially without the triggering cause, must be avoided in the most effective way; i.e. e. It is not economic conditions, but economic emergency following unemployment or business collapse, etc., but grief but fear of judicial punishment because of t d d d l ill, but also, if possible, the nature of the illness (melancholy, malaise of persecution etc.) Z u Fr a g e 11: This must be stated here, in particular, when transferred to institutions their name and situation. (Signature of the filler.) epume If still alive transferred to another place? Where and when died? Name, date of birth and place of residence of the other suicide? 9 Time of day 13. Income and assets of the suicide: a) Was she currently unemployed or unemployed and since when? c) Did she have needy relatives whose support she was? 15. Only in case of common suicide of several persons: (place and date of completion of the counting card.) Attention! To F ra g e 7: For general information, such as 'worker', 14. Has suicide been found flawlessly?. Back page d) How many unscathed children are there? for the loss of the husband". not "‘fear', adding the name of the congregation)?. 12. Time of execution of suicide: month was it quite destitute? business", etc. to indicate. to what extent? b) or improvement institutions, education, teaching. (in case of suicides of children etc.) here is the occupation, occupation and occupation of the (whether hanged, suffocated and with what? shot and with which weapon? drowned and in what cause to suicide? 6. Marital status: Single - Married — Widowed -- Divorce - Separated — Unknown. Note: The nifty applicable in the above terms is to be covered. 8. Only in the case of pupil suicides: Which school and school class were last attended? Year for suicides of female persons. B. of prisons, penal-poor- and orphanages, occupation or occupation of the suicide victim: to be described precisely.) District: Understand what is true. Underscore what is correct. Counting card Type of suicide with indication of suicide agent: front month Waters? poisoned and with what poison etc.?) 19 3. Time and place of birth of the suicide: (For inmates of public institutions, e.g. health, care and care institutions, religious institutions, etc., the institution is supposed or certain 1. name of the murderer? Service: train station or railway line: . Nationality: page "to question 10---) Father.) Railway Directorate: BeL Political district: 2. Place of residence? Place of birth: Bergrevier: 4. Religion: Country: 9 10.