| Sex | Female |
| Age | 71 |
| |
| Born | 19 February 1838 | in | Utrecht UT (NL) |
| Registration | 20 February 1838 |
|
| Died | 28 February 1909 | in | Moergestel NB (NL) |
| at | 11:00 | |
| Registration | 1 March 1909 |
| Witness(es) | Johannes van de Loo (gardener)
Jan Hertzig (gendarme) |
|
| Father | Johannes van Blaricum |
| | Born | 3 July 1803 |
| | Died | 1 March 1866 |
| Mother | Theresia Maria Overwijn |
| | Born | about 1806 |
| | Deceased | | Brother | Cornelius Carolus born 4 November 1833 |
| Brother | Cornelis Anthonius born 15 July 1835 |
| Brother | Anthonius Bernardus born 5 July 1840 |
| Brother | Gerard Nicolaus born 30 January 1844 |
|
