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For the Year 19 9-Y <br /> NAMES AND BIRTHPLACES OF PARENTS OF DECEASED <br /> DISEASE OR CAUSE OF DEATH I RESIDENCE DATE OF <br /> (Give full name of father and maiden name of moth2 PLACE OF DEATH <br /> er) Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD <br /> Al" <br /> -�� <br /> —� -op'? <br /> /1"Z244A/t--& <br /> jz <br /> 0 <br />