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77 Path Xvf#*5tfrd 111 tht � o <br /> (USE TWO LINES WHERE NECESSARY. ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition. <br /> FULL NAME OF DECEASED. ; AGE. <br /> DATE OF SEX { COLOR. Whether sin. DISEASE OR CAUSE OF DEATH. <br /> . <br /> NUMBER. (If a married or divorced woman or a widow,give also gle,married, <br /> DEATH. widowed or (Primary and immediate cause.) <br /> maiden name and name of husband.) ! Years. Months. Days. <br /> f <br /> divorced. a <br /> 11 E <br /> is <br /> j <br /> p. 4 <br /> 4 <br /> 111 ' <br /> i f <br /> _ .. _. ; <br />