HomeMy WebLinkAboutCemyBook1-name+YOD007291
Block No..V )� Lot No.
Name
Residence
n�
Certificate No. / % j Anrt, Paid, $
Dak• Sold (G� �� %. J / D D I,d Recorded Book /
Date
Tr niferred to
I
a
No. oS NAmF. w DF.CEDENT
' Imrrtnrnt
r
i -
7_ 8 3
zB;S- A,
�-�-�-
fnH /0,.O
Page 'I • r1
Block No. f�
Name
Residence
Certificate No.
Date Sold
Transferred to
. Lot No. /
Amt. Paid, $
D.ed Recorded Book
_Date
Ace
-- - DATE OP DEATH
PLACE. or DEATH Sex Color
PLACE OF BII�TIt Years Mouths Days Year Month Day
Block NO.
/ -- - / Lot No. i J
Namo/1[ �u CC/
Residence �(D - i
u / cE'-4 Cvo
I'a Certificate No. / 2, Amt. Paid, $ / 0\ U
Date Sold %ht ! (p t ( 4/ / 0 Deed Recorded Book
Transferred to - Date
CAUSE or DEATH
DATE OF INTERMENT PLACE Or INURNENT
Grave Permit No.
Year Month Day Block tut No.
y
y7
�yay
iz
2z
�yoy
iz
z8.
�
If ze
3
2Z
✓ c Gres
�;vl �!� ��r.� 3 G
_ — �X
— /�1//
2
7
/0
/ o
'rn .
,. /9 3 o
10
7
OF IA.NiJUGA.YR d. - ----1/
/ 9 3 0
/ d
. 13
'G
,
7 o q 6 J /�sr jS7 / I o26 oy
i.s
AS-
S
/6
z
Ag
z
-fe
_1/3
i3
'f
9 z
/3
S
16
l3
s
/37
!y
2
/6
y
/•5'
3
Block No. Lot No. / G
Name
Residence
e Certificate No. � (� �— Amt. Paid, $ �1-4d \ -
Page 4 n Date Sold !/ Sf D Deed Recorded Book / Page
Trans(trrcd to Date -
Grave Fee Name of Undertaker, Coroner or Physician Nextest Relative or Friend
CCb
Da
/
r �
/ 5 0o
REMARKS
_t