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Get Sc Dhec-0670c 2010

Rs) 4b. UNDER 1 YEAR 4c. UNDER 1 DAY Months Hours Days 7a. RESIDENCE-STATE Yes 5. DATE OF BIRTH (MM/DD/YYYY) Minutes 7b. COUNTY 9. MARITAL STATUS AT TIME OF DEATH No 7f. ZIP CODE 7e. APT. NO. Married Married, but separated Divorced Never Married 7g. INSIDE CITY LIMITS? No Yes 10. SURVIVING SPOUSE’S NAME (If wife, give name prior to first marrriage) Widowed Unknown 11. FATHER’S NAME (First, Middle, Last) 13a. INFORMANT’S NAME 6. BIRTHPLACE (City and State or Foreign .

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