inc:per-table3-loc
State County District City Church
Birth-Place: %%form_data{birth-state}%% %%form_data{birth-county}%% %%form_data{birth-district}%% %%form_data{birth-city}%% %%form_data{birth-church}%%
Death-Place: %%form_data{death-state}%% %%form_data{death-county}%% %%form_data{death-district}%% %%form_data{death-city}%% %%form_data{death-church}%%
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