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Line 91: |
Line 91: |
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| | width="25%" | <center>'''Y'''es or '''M'''aybe '''⇒'''</center> | | | width="25%" | <center>'''Y'''es or '''M'''aybe '''⇒'''</center> |
| | width="3%" | '''Y''' | | | width="3%" | '''Y''' |
| | width="3%" | '''M''' | | | width="3%" | '''M''' |
| |- | | |- |
| | width="25%" bgcolor="#FFE3B8" | Name of Deceased | | | width="25%" bgcolor="#FFE3B8" | Name of Deceased |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
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| | width="25%" bgcolor="#FFEDA3" | Death Date and Place | | | width="25%" bgcolor="#FFEDA3" | Death Date and Place |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
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| | width="25%" bgcolor="#FFE3B8" | Age or Birth Date and Place | | | width="25%" bgcolor="#FFE3B8" | Age or Birth Date and Place |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
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| | width="25%" bgcolor="#FFEDA3" | Parent's Names | | | width="25%" bgcolor="#FFEDA3" | Parent's Names |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
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| | width="25%" bgcolor="#FFE3B8" | Mother's Maiden Name | | | width="25%" bgcolor="#FFE3B8" | Mother's Maiden Name |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
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| | width="25%" bgcolor="#FFEDA3" | Name of Spouse | | | width="25%" bgcolor="#FFEDA3" | Name of Spouse |
| | width="3%" | | | | width="3%" | |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
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| | width="25%" bgcolor="#FFE3B8" | Residence | | | width="25%" bgcolor="#FFE3B8" | Residence |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
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| | width="25%" bgcolor="#FFEDA3" | Occupation | | | width="25%" bgcolor="#FFEDA3" | Occupation |
| | width="3%" | {{Green check}} | | | width="3%" | {{Green check}} |
| | width="3%" | | | | width="3%" | |
| |} | | |} |
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