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PLACE OF DEATH. PLACE OF BIRTH. NAME AND BIRTHPLACE OF FATHER. NAME AND BIRTHPLACE OF MOTHER. <br /> DATE OF <br /> PLACE OF BURIAL. <br /> RECORD. <br /> L <br /> 7 - <br /> f <br /> 1 <br /> I I <br /> 4- pit <br /> 11 i <br /> r `x <br /> a <br />