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Ckwahlquist (talk | contribs) mNo edit summary |
Ckwahlquist (talk | contribs) mNo edit summary |
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Bride/Groom''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Bride/Groom''' | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
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| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Bondsmen''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Bondsmen''' | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | <br> | | valign="middle" width="16%" align="center" | <br> | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Occupation of Bride/Groom''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Occupation of Bride/Groom''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | x | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Deceased''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Deceased''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date and Place of Death''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date and Place of Death''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date and Place of Birth''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date and Place of Birth''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Age at Death''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Age at Death''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Marital Status/Name of Spouse''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Marital Status/Name of Spouse''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Parents' Names''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Parents' Names''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Informant''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Informant''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Occupation and Education of Deceased''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Occupation and Education of Deceased''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Whether Deceased was a Veteran''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Whether Deceased was a Veteran''' | ||
| valign="middle" width="16%" align="center" | <br> | | valign="middle" width="16%" align="center" | <br> | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Deceased's Social Security Number''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Deceased's Social Security Number''' | ||
| valign="middle" width="16%" align="center" | <br> | | valign="middle" width="16%" align="center" | <br> | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Cause of Death''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Cause of Death''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date and Place of Burial''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date and Place of Burial''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
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| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Funeral Home''' | | bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Funeral Home''' | ||
| valign="middle" width="16%" align="center" | '''<br>''' | | valign="middle" width="16%" align="center" | '''<br>''' | ||
| valign="middle" width="16%" align="center" | | | valign="middle" width="16%" align="center" | x | ||
|} | |} | ||
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