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[Full name], [age], of [place of residence], passed away on [date of death] from [cause of death].

[First name] was predeceased by [list of family members who have passed away]. [She/He] is survived by [list of family members who are still alive]. [First name] was a private person who [did not wish to have services / wanted private services].
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Timeline

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Born

April 2nd, 1954
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Passed away

October 10th, 2021
Kent, WA

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Sokhour Leng