55 Out 5 Form C. 1925. STATE OF MAINE CERTIFICATE OF DEATH Place of Death Tremont Street No. Name Heben G. sawyer How long a resident life Previous residence Married, Single, Sex m Color w Widowed or } Deceased was husband of Hatte Divorced I Suwjer Deceased was wife of Date of Birth: Year 187M Month 10 Day 31 Age: Years 55. Months 6 Days 27 Occupation Light Kuper Place of Birth Tremont Name of Father Leain fi Surge Birt1 place of Father Tremont Occupation of Father Light Keepr Maiden Name of Mother Viana B.Dix Birthplace of Mother Foremont (Signature of Informant) Corrected (Address) led 19 ER) (Local Registrar)