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Certircate No. 0. / ce
Residence
Date Sold �-Cyr 7 / y-,o -o _ Dee;1 Recorded Book No. D .2 Amt. Paid, $ -"d
Date / I'nKe '.Yy CcrtifiCate
Date S/Id-xt✓ .j Deed Recorded BookTranafei{Ycd toDate
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No. of NAmr. Or LECEUnr.T PLACR OF BlhTll PLACE OF DEATH
Iaetmtni
AGE
Years Manila Days
Sex Color
DATE of DEATa
Year Month Dap
CAUSE OF DikTu
DATE OF INTERMENT PLACE OF INTERMENT
-- Grave Permit No. Grave Pee
tct No.
Year Month Dar Block
Block No. C 6 -
Name p
Residence
Page
Certificate No. /(o O D
Amt. Paid, $�
Date Sold '0?+. z
/ qr /fD7 Deed Accorded Book /
Transferred to Date
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Name of Undertaker, Coroner
or Physician Neatest Relative or Fricnd
Page � —.Z:�
REMARKS
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