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Slimagh, Stephin r T Otis dub"to be kept bjr pmon twWag PetmftF BURIAL PERMIT. .I: . tt?YE of.I}ecom . ....xr+ .: 2. .Place o,f'Burial. ` .� .. 8. Date and Place of Death. ill, cause Of f'Death.��. � CA 15� Cert ........ . .. ... ..