local_florist

 601-876-3634

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Vital Record Form 

Form name - click to set options

If unsure, type unknown in the text box.
If unsure, type unknown in the text box.
If unsure, type unknown in the text box.
If unsure, type unknown in the text box.
If wasn't a Veteran, type N/A in the text box.
If wasn't a Veteran, type N/A in the text box.
If not married, type N/A in the text box.

If unsure, type unknown in the text box.
If unsure, type unknown in the text box.


If no other person has been assigned, type none in the text box.
If no other person has been assigned, type none in the text box.
local_florist

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