5 n Secton D D. Chi Id Viaim Information 01110 ocaea . Idettifed Date O G.fro .mor zing Deceased Date ot Birm Soya: Socvnty No. (i aveitoble) ❑kAua ~slo en LO: ~Cent ICC) run On~ t•n• rOC• Rainf~ Lass" COna•an Oni".0 Ca'. C., e • onen ros+k br» r tiSMS st ~away fr.. Is n bue ~e 00114 apruu ~0 Snau t