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For the Year 191. ,o <br /> OCCUPATION OF <br /> FULL NAME OF FATKER MAIDEN NAME OF MOTHER FATHER BIRTHPLACE OF BIRTHPLACE OF DATE OF <br /> OCCUPATION OF FATHER MOTHER RECORD <br /> MOTHER <br /> 111-1,3 <br /> 1,4 <br /> ' _ Thr x <br /> a <br /> ]z-,-� <br /> 14 <br /> Y tVJ <br /> O - . <br /> - \ t <br /> :. <br /> _ <br /> 71t <br /> t. <br /> kz <br /> i <br /> r <br />