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Get IA Section 35B.19 2002-2024

URIAL DATE of DEATH (Mo, Day, Yr) RACE (African American, American Indian, Caucasian, etc.) AGE (Last Birthday in Years) DATE OF BIRTH (Mo, Day, Yr) SEX M / F LOCATION OF DEATH (City/Town, State, Zip Code, etc.) PLACE OF BIRTH MARRIED, NEVER MARRIED, WIDOWED, DIVORCED, etc. (Specify) SPOUSE’S NAME: MAIDEN FIRST NUMBER & STREET ADDRESS P. O. BOX NUMBER MIDDLE STATE ZIP CODE CITY/TOWN FATHER’S NAME: LAST COUNTY FIRST MOTHER’S NAME: MAIDEN MIDDLE FIRST MIDDLE IMMEDIATE FAMI.

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