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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 /> (Give full name of father and maiden name of mother) 2 PLACE OF DEATH <br /> Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD <br /> r <br /> 41 <br /> I ) <br /> 01 <br /> fr <br /> - � -� <br /> _ o <br /> -1,3 -� <br /> Y. <br /> ff <br /> Ar <br /> dt <br /> -� <br /> i <br />