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For the Year 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 /> 1 <br /> OLS' �J <br /> j <br /> I <br /> ` U <br /> �. -�Q <br />