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DC#14515 Lowndes Co., Ms.--Mrs. Mollie Surrat--married--white--born unknown date in
Mississippi--died 8-3-1914--age 42--City of Columbus--Father Grismer Andrews
born Ms.--Mother unknown--Informant J. M. Surrat of Columbus, MS--COD
Brights Disease for three years--Buried (Cannot read)
--Undertaker and Doctor address Columbus, Ms.
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