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Form 8-328. 2m-2-59-924805 <br /> ' � � � �e� trt � �e <br /> 4b, <br /> (USE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition AGE <br /> FULL NAME OF DECEASED DISEASE OR CAUSE OF DEATH <br /> Whether sin- <br /> DATEOF COLOR <br /> NUMBER (If a married or divorced woman.or a widow,give also SEX ma (Primary and immediate cause.) <br /> maiden name and name of husband.) —years <br /> DEATH owed, Months Days <br /> i divorced <br /> E7 <br /> v <br /> `74'1 <br /> A <br /> c <br /> ol– <br /> . <br /> 'J <br /> A <br /> .261 <br /> e. <br /> ------- ---------- <br /> -------------— <br /> t <br /> 14' <br />