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Date of Birth
Date of Death 04/27/1969
Cause of Death
Age 49
Place of Birth ____ , ____
Place of Death ____ , ____
Gender Female
Maiden Name
Spouse's Name
Father's Name ____ , ____
Mother's name ____ , ____
Section Name 001
Lot Number 221
Grave Row
Grave Number
Lot Owner
Date Interred
Removed From
Marker Condition
Head Stone No
Foot Stone No
Military Marker No
Other Marker No
War Served
Branch Served
Unit Served
Rank
Notes
Inscription