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7 � + <br /> III tht <br /> (USE TWO LINES'WHERE NECESSARY. ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition. <br /> DATE OF FULL NAME OF DECEASED. AGE. <br /> SEX. COLOR. Whether sin- DISEASE OR CAUSE OF DEATH. <br /> NUMBER. le,married, <br /> (If a married or divorced woman or a widow,give also g <br /> DEATH, maiden name and name of husband.) widowed or Years. Months. Days. (Primary and immediate cause.) <br /> divorced. _ <br /> f I <br /> f <br /> _ s <br /> i <br /> f <br /> • s <br /> fi <br /> 1 , <br /> d <br /> i <br /> E - <br /> i <br /> r <br /> 1 <br /> I <br /> y f I r <br />