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For the Year 19,0 <br /> OCCUPATION OF <br /> FULL NAME OF FATHER MAIDEN NAME OF MOTHER FATHER BIRTHPLACE OF BIRTHPLACE OF DATE OF <br /> OCCUPATION OF FATHER MOTHER RECORD <br /> MOTHER <br /> LOT <br /> I <br /> 17 <br /> r <br /> - • <br /> r <br /> -12 0 - <br /> I <br />