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1- <br /> , <br /> c4z) <br /> Y _ <br /> Form&-328. 2m-259-924805 <br /> (USE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> — Condition AGE DISEASE OR CAUSE OF DEATH <br /> FULL 'NAME OF DECEASEDgl, <br /> DATE OF \F"hether_in <br /> NUMBER (If a msrried or divorced woman or a widow,sive also SEX COLOR widow <br /> married, (Primary and immediate cause.) <br /> DEATH maiden-nave and name of husband.) �ndovred,or years Months Days <br /> ivorc <br /> 631 -7 <br /> I <br /> T <br /> nn 7 <br /> 170i <br /> ° a -_ cue <br /> Y <br /> t <br /> il7k7 <br /> oma. <br /> - � � • ; � �"pct div-�-__����c � _2�=���Q, � w 1`�j _ �� _ // � __. _-_ _ _ .���#_ c,�,�.�.Qom, <br /> l <br /> __-_--_------- _ __ _ __ _ _ __-_------....._-_- <br /> 741 <br /> 0001** <br /> 0`3 M46 <br /> _ <br /> Jqooll .4 <br /> 0,0 <br /> r } 3 <br /> 9 <br /> n — <br /> I <br /> I <br /> a <br /> a <br /> i ( I <br /> A. w <br /> a. , <br />