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Date of Birth
Date of Death 05/07/1970
Cause of Death
Age 70
Place of Birth Unknown
Place of Death Unknown
Gender Male
Spouse's Name
Father's Name ____ , ____
Mother's name ___ , ___
Section Name 020
Lot Number 227
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