No. 101. 17th September 1915, appeared before me, Official of the Burgerlijken Stand of gemeente Ferwerderadeel, Hendrik Seegers, 40 years old, laborer, living in Ferwerd, and Pieter Seegers, 70 years old, laborer, living in Ferwerd, who gave notice that 16th September of this year, 3 p.m., is deceased in Ferwerd.
Dirkje de Vries, 64 years old, without occupation, born in Hallum, living in Ferwerd, widow of Gerrit Swart, daughter of the late spouses Johannes Jaspers de Vries en Wijtske Sijes Wiersma. Of this I have drawn up this certificate, and after having read it the declarants signed. (See Image for original Dutch text)