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For the Year 19 �- <br /> -a <br /> NAMES AND BIRTHPLACES OF PARENTS OF DECEASED = " <br /> (Give full name of father and maiden name of mother) DISEASE OR CAUSE OF DEATH I RESIDENCE DATE OF <br /> 2 PLACE OF DEATH <br /> Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD i <br /> i <br /> I <br /> p <br /> I, <br /> �n <br /> :IF <br /> I <br /> i <br /> I: <br /> l <br />