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Vital Statistics

Vital Statistics

DECEDENT INFORMATION

Please fill up the items below.

 

 
 
 



VITAL STATISTICS

 

 

Place of Death

 

 

 

 

Place of Birth




VETERAN INFORMATION

 

 




EDUCATION

 




NEXT OF KIN

 

 
 
 

 

 

Latimore Funeral Services
Phone: (301) 404-2207
1505 Kenilworth Avenue Northeast, Washington, DC


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