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Y 4b. Under 1 Year 12. Was Decedent ever in U.S. Armed Forces? Yes No 4c. Under 1 Day Months (Years) Hours Days 7. Birthdate (MM/DD/YYYY) 5. Social Security Number Minutes 8a. Birthplace (City, Town, or County) 8b. (State or Foreign Country) Unk 9. Decedent s Education-(Check the box that best describes the highest degree or level of school completed at the time of death.) 10. Was Decedent of Hispanic Origin? 11. Decedent s Race (Check one or more races to indicate what (Ch.

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