| Source: Weick Brothers Undertaking Company Records, 1911-1968 Location: Weick Brothers Undertaking Company Records, Archives | |
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| Last Name: | Derby |
| First Name: | Madeline |
| Address: | 1807 South 9th St. |
| Death Date: | 1921 Feb 12 |
| Age: | 2 |
| Volume: | 3 |
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