Afkomendur Jack Maurice Scutts

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Skyldleikar [witnesses] (giftingar)

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Athugasemd (giftingar)

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[date of birth] [where born]

[date of baptism] [baptism place]

[spouses]

[date of marriage] [where married]

[number of children]

[date of death] [where dead]

[date of burial] [burial place]

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