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First Name: Incille

Middle Name: Bleidt

Last Name: Lassiter

Date of Birth: 31 December 1897

Date of Death: 1 January 1941

Block: 5

Lot: 3

Location: N

Section: A

Own First Name: M.A.

Notes: Month Day not provided - entered as Jan 1

Sta: Y

Space Plt: 3

Own Last Name: Lassiter

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