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For the Year 19 <br /> NAMES AND BIRTHPLACES OF PARENTS OF DECEASED <br /> DISEASE OR CAUSE OF DEATH I RESIDENCE DATE OF <br /> (Give full name of fattier and maiden name of mother)' 2 PLACE OF DEATH <br /> Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD <br /> �r <br /> 1 <br />