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Date of Birth
Date of Death 05/04/1969
Cause of Death
Age 83
Place of Birth ___
Place of Death Coral Gables, FL
Gender Unknown.
Maiden Name
Spouse's Name
Father's Name ____ , ____
Mother's name ___ , ___
Section Name 422
Lot Number 7
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