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*Previous marriage (if any) | *Previous marriage (if any) | ||
*Signatures of couple and witnesses | *Signatures of couple and witnesses | ||
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*Military service such as dates served and unit | *Military service such as dates served and unit | ||
*Name, address, and relationship of informant | *Name, address, and relationship of informant | ||
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*Name of funeral home | *Name of funeral home | ||
*Time of death | *Time of death | ||
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