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- 2.) Date of Birth
- 3.) Sex
- 4.) Date of Death
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- Is Residence Within The City Limits?
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- 8.c) Current Locality (check the box that describes the location)
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- 11.) Decdent's Highest Level of Education
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- 12.) Race/Heritage (if Asian, list nationality ie. Chinese, Filipino, Asian Indian, etc. under "other"), mark all that apply.
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- 13.b) Hispanic Origin (yes/no)
- 14.) Was Decedent Ever In The Armed Forces?
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- 17.) Marital Status
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- Spouse - Living or Deceased?
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