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i <br /> 67 <br /> (USE TWO LINES WHERE NECESSARY. ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition. <br /> DATE OF FULL NAME OF DECEASED. AGE. <br /> Whether sin- DISEASE OR CAUSE OF DEATH. <br /> NUMBER. (If a married or divorced woman or a widow,give also SEX. COLOR. :glc married, -� <br /> DEATH, maiden name and name of husband.) widowed or Years. Months. Days. (Primary and immediate cause.) <br /> divorced. <br /> j <br /> 143 1210 <br /> fn.I I j <br /> I <br /> t/ ,g rf W(�/L.Qt ' �• �(/; J j / ' A4& 4"&44e <br /> /� <br /> i I I <br /> s j <br /> i <br /> a <br /> s E <br /> i <br /> i <br />