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Form R-329. 2m-6-59-325384 <br /> A' ~ <br /> 0ex��e va <br /> (USE TWO LINES WHERE NECESSARY, ALL NAMES TO BE GIVEN Lei FULL.) -------�� <br /> DATE s Condition; FULL NAME OF FATHER <br /> SEX as Twins,` COLOR � PLACE OF BIRTH <br /> NO. ! B OF FULL NAME OF CHILD f -ete. <br /> E <br /> --------- -- --- S <br /> _ <br /> 1 E i <br /> 43 <br /> %"rIlk <br /> t <br /> _ cam a`l.._ _v _ <br /> EEL <br /> r <br /> i <br />