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/ r " <br /> -� I. RESIDENCE. 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. (Give full name of father and maiden name of mother.) Birthplace. <br /> ------ — ------ <br /> i <br /> I <br /> I <br /> f <br /> ° <br /> I <br /> )�^ p <br /> t <br /> ,1 <br /> 1 <br /> f � <br /> f I <br /> _ 2 <br /> � - <br /> I <br /> I <br /> I <br /> i <br />_ I , <br />