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r <br /> .' Form R-328. 2m-2-59-924805 <br /> F <br /> �� l2 <br /> (USE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> * DATE OF I FULL NAME OF DECEASED Condition AGE DISEASE OR CAUSE OF DEATH <br /> Aghether sin- <br /> NUMBER (If a married or divorced woman or a widow give also SEX COLOR ! gie,married. (Primary,and immediate cense <br /> r DEATH maiden name and name of husband.) id7Orr�or Years Months Days ) <br /> i <br /> i <br /> H . <br /> -- <br /> (A) <br /> 10 <br /> 'j <br /> i <br /> r <br /> , <br /> - <br /> ..: <br /> , <br /> 1 <br /> /_2---o tir1,4 /�2�L� �7 7 <br /> f � 4 <br /> LM <br /> 3 <br /> e <br /> _ <br /> ;a <br /> �� 4 <br />