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This is an Application for Headstone for a veteran. If you look closely at this form you will see that it contains at least the following information (and a lot more):
name
birth date
enlistment date
rank
unit
discharge date
death date
cemetery name
cemetery place
marker type
religious emblem
me
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/image%2F0002488%2F201206%2Fob_891904_2012-06-01-colorado-springs.jpg)
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