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I. RESIDENCE. NAMES AND BIRTHPLACES OF PARENTS OF DECEASED. 1 DATE OF <br /> 2. PLACE OF DEATH. OCCUPATION. PLACE OF BIRTH. RECORD. <br /> 3. PLACE OF BURIAL. (Give fall name of father and maiden name of mother.) Birthplace. <br /> 1115 <br /> of <br /> ; <br /> :, <br /> - <br /> r <br /> /z .3 1yl <br /> 3 � �✓L/-cam I <br /> I � A 0' I <br /> I <br /> I � � <br /> . - a <br /> 1 - <br /> I <br /> I � <br /> I I <br /> I <br /> i <br /> 1 <br />