inc:per-table3-death
Day Month year State County District City Church
Death-Day, -Place: %%form_data{death-day}%% %%form_data{death-month}%% %%form_data{death-year}%% %%form_data{death-state}%% %%form_data{death-county}%% %%form_data{death-district}%% %%form_data{death-city}%% %%form_data{death-church}%%
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