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For the Year 19 U <br /> NAMES AND BIRTHPLACES OF PARENTS OF DECEASED <br /> DISEASE OR CAUSE OF DEATH I RESIDENCE <br /> (Give full umne of father and maiden name of mother) DATE OF <br /> 2 PLACE OF DEATH <br /> Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD <br /> IIJ6 fig <br /> I ' - <br /> Ain (11 1 <br /> - <br /> i <br /> 3 ' <br /> P91. MI. 0hwo 8 <br /> h6 A. <br /> PDA �A& <br /> I <br /> i <br /> f <br /> 1�_ <br />