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1. RESIDENCE 1.000UPATION <br /> 2. PLACE OF DEATH PLACE OF BIRTH NAMES AND BIRTHPLACES OF PARENTS OF DECEASED <br /> j 3. PLACE OF BURIAL 2'WAR SERVICE DATE OF <br /> I (Gine full name of fatty and maiden&am,e of mot►ss.) RECORD <br /> f <br /> . r <br /> 3 - <br /> �� _ <br /> 13 � -- <br /> _---- -- - <br /> d <br /> _ ------- --- - 1 <br /> 3__... -Lea <br /> ---__ <br /> -- --- - <br /> , T <br /> PIZ <br /> G'l�ft r 6 y <br /> ua <br /> ------------ ------ -__ <br /> 9jr <br /> - _ <br /> v_ <br />