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(USE TWO LINES WHERE NECESSARY. ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition. <br /> ition. — <br /> FULL NAME OF DECEASED. AGE. <br /> Z DATE OF 1 jwhetheram DISEASE OR CAUSE OF DEATH. ! <br /> NUMBER. ; (If a married or divorced woman or a widow,give a}so SEX C LOR. g}e,married i <br /> DEATH. widowed or (Primary and immediate cause.) <br /> � E maiden name and name of husband.) � Years. Months. Days. <br /> divorced. <br /> a %� ,,� ter- >M i ur <br /> 6J- <br /> JA ' X ' �� ✓ f <br /> CTuc <br /> G 4� � r)44 j X <br /> ?aGY <br /> 167 <br /> E <br /> Illy, <br /> E <br /> i <br /> t <br /> E <br /> : f <br /> i <br /> i <br /> jj <br /> { I <br /> ! <br />