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For the Year 19 <br /> NAMES AND BIRTHPLACES OF PARENTS OF DECEASED <br /> DISEASE OR CAUSE OF DEATH I RESIDENCE <br /> PLCODATE OF <br /> (Give full name of father and maiden name of mother) 2 F DEATH <br /> AE Birthplace (Primary and immediate cause) 3 PLACE OF BURIAL RECORD <br /> -.tom <br /> _ J� _Z1 <br /> n <br /> f � <br /> �VA- <br /> J <br /> k <br /> r <br /> �I <br /> !P <br /> I <br /> i <br />