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Husband's l fu\\4 Nam{!JJ3f:tVNE'ff AJ4/1lroCJz FAM\LY NO. .' - . ~.Cl>t!fctT-Mtitiation -- , GROUP Birth Birth . - /111:;2, Birth ,-/:190 ,/'(pJ Places of Residence ./X31 '/)f .'/;{d .XI/ .J ./ Birth Add. Info. on ~jsband I-5.~. !JlfE6 (!J;.Tr Church Affiliation info. on Children Husband ((..j:; Death Birth _'\ Military State or Place Country State Town or Country etc /(ftr>" (j /_ l:r~ I/tl37 l~,Occupation I-lJ-rMlt-,v ----fTU"/i(! /I . Marr. ~Rec. E7?J2..'-/ -i/Name 1111 (1/, ON 16, 1t1/< County or Province, etc. A-N'i 11~ (j; 41J jDeath yChr'nd /~'11 Iq,~ /1'2-), Mother's }(I..!:' 18 Maiden Birth II G. Name S/f/lfr 8"A (S(V;/J~ ..;. )0('ftS'j0 10 Day -,-. Month Day I:;.. I,,{/i Month 17Y4 Year /1/7 Year Marr. .-:J I!f:i" t"() IHis iL .s /6 Jfi 1I,-J; rJ 6 (y On fJ-.c-u .Burial Birth Death 1"1 Birth fit rip ,Ur I'krl. 2VIt. Mother's Maiden I.I'1:;1:'{1"511')/-! ~ ~ (:C E::;!/:7r-. Burial / ~7 % 4t/.. IrD~1 .Birth cF t\ P (\1 rom: Chr'nd ...m1t..f1R. ..--. 87/'1(/ /190 (it//, ..9A (7f0 ?I;;, '(AItCl1 il'j)~ P .9 ('4~~>J;;'1 ;-jf {.;-:::;-1 1•• ..•.. •... oj, LlUE.:iJ ,1= I~ II-{ -H-t:I-{f?!...arJJ r)e.:lf 191 1"".. I,('d,/.;:h G-A f". ~ '/1') (1&1/_., any. NO. (1) (L)II etcA . IA ,."
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