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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 /> 2 PLACE OF DEATH <br /> (Give full name of father and maiden name of mother) Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD <br /> i <br /> ft::::4 6 <br /> / - <br /> A, <br /> co�� <br /> 6461 _. <br /> 41 <br /> / -e,/-�� <br /> D f <br />