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For the Year 19 �Ilf <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 /> i <br /> .a n <br /> i <br />