| | First Name |
| | Last Name |
| |
Date of Birth |
| | Place of birth |
| | Father |
| | Mother | Data Withheld : Living relative, permission not gained |
| | Date of marriage |
| | Where married |
| | Name of spouse |
| | Other marriages |
| | Children |
| | Date of death |
| | Place of |
| | Age at Death |
| |
Notes |
| | First Name |
| | Last Name |
| |
Date of Birth |
| | Place of birth |
| | Father |
| | Mother | Data Withheld : Living relative, permission not gained |
| | Date of marriage |
| | Where married |
| | Name of spouse |
| | Other marriages |
| | Children |
| | Date of death |
| | Place of |
| | Age at Death |
| | Notes |
| |
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