Laserfiche WebLink
For the Yeas` 19 <br /> NAMES AND BIRTHPLACES OF PARENTS OF DECEASED <br /> DISEASE OR CAUSE OF DEATH 1 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 /> int <br /> i91 <br /> t <br />