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i <br /> Form R-328. 2m-2-59A24805 t4r,h <br /> 9 <br /> y" (LSE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) _ <br /> -- Condition AGE <br /> DATE OF FULL NAME OF DECEASED DISEASE OR CAUSE OF DEATH <br /> R'hether sin- <br /> NUMBER (If a married or divorced woman or a widow,pe also SEX COLOR gle,married. <br /> DEATH maiden name and name of husband) r widowed,or Years Months Days (Primary and immediate cause.) <br /> divorced /�", <br /> A � i <br /> 3 ' i <br /> �39L <br /> 4 <br /> , <br /> r <br /> \` L. <br /> I' <br /> [zd <br /> 1 <br /> e <br /> I _ <br /> « <br /> _ 7 <br /> d <br /> :A <br /> + � 1 <br /> Ca <br /> jj <br /> P rG� <br /> r. <br /> - --- - - -- - - VA <br /> a« <br /> C C- <br /> " n <br /> k+ <br /> ell <br /> t t � <br /> I <br /> t � <br /> 1- <br /> • t + 1� <br /> 1 '- <br /> - <br /> 1 --_ <br /> 4 <br /> I <br /> l � <br /> y <br />