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•+i <br /> I. RESIDENCE. ( I NAMES AND BIRTHPLACES OF PARENTS OF DECEASED. <br /> DATE OF <br /> 2. PLACE OF DEATH. OCCUPATION. PLACE OF BIRTH, <br /> RECORD. <br /> 3. PLACE OF BURIAL. i (Give full name of father and maiden name of mother.) Birthplace. <br /> I <br /> I <br /> i <br /> • i <br /> j <br /> 3 <br /> i <br /> 1 <br /> r. p <br /> j <br /> G <br /> j R <br /> Ex= 7 <br /> ------------ <br /> E <br /> 1 1 <br /> i ' 1 <br /> I <br /> A <br />