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| Name | Marguerite Formy-Duval Borneman, |
| Date of Death | 09/10/2009 |
| Age | 87 |
| Section | O |
| Lot | 162 & 164 |
| Grave Space | 13 (lot 162) |
| Place of Birth | Hallsboro, NC |
| Place of Death | Chipley, Fla. |
