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r <br /> fi" a <br /> Form R-328. 2m-2-59-92480S <br /> � 1 <br /> (LSE TWO LINES WHERE NECESSARY,ALL NAMES TO BE GIVEN IN FULL.) <br /> r / � <br /> FULL NAME OF DECEASED ! I ( nom AGE DISEASE OR CAUSE OF DEATH 4 <br /> j DATE F <br /> NUMBER (If a monied or divorced woman or a widow,pie also SEX f COLOR gl married, <br /> DEATH maiden same and name of husband.) �divorced°T Years Months Dais (Primary and immediate ran.-..--) <br /> 7' �w� _ _ ► Ue, _ �1 _ q,3 ,cam <br /> n <br /> -- -_-.-___-__-__ _ --- ----__--_-____-__ <br /> --_--- <br /> X30 -- - -- o <br /> .� .131671 <br /> w - aIZv <br /> ,a <br /> kl <br /> O <br /> _ _ ___ ----- ___ _ _-__-- _-._ <br /> z: _------------ <br /> ,33 1_57 <br /> 17 <br /> a <br /> j <br /> Q � <br /> y <br />