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a, <br /> Form R-328. 2m-2-59A24805 <br /> (USE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> Condition AGE <br /> i DATE OF FULL NAME OF DECEASED Whether sin- DISEASE OR CAUSE OF DEATH <br /> NUMBER (If a married or divorced womaa or a widow g<ve also SEX COLOR 1. gi married, <br /> DEATH h„dn,..1 ' 1 w�dodiv�e or Years Months Days (Primary and immediate cause.) <br /> e; <br /> maiden <br /> aamc and name of S <br /> 13 Vj <br /> _ '71 <br /> (4 <br /> - . <br /> t <br /> IveL <br /> 16 <br /> r <br /> r <br /> I i � <br /> i <br /> iR <br /> i <br /> . <br /> 14 <br /> t � <br /> 4 <br /> • <br /> _�( <br /> - —n— <br /> /* <br /> --d <br /> _ <br /> y <br /> i <br /> a1 <br /> am-A <br /> y e 1 <br /> V <br /> _ 1 <br />