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AGE DATE OF DEATH
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DATE OF INTERMENT PLACE OF INTERMENT
Grave Permit No.
Year Month Day Block Let No.
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Block No.
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Certificate No.
Page ;2-/J Amt. Paid,
Date Sold
3�j /%/��• Deed Recorded Book / Page 7
Transferred to
Date
Grave Fee Name of Undertaker, Coroner
or Physician Nearest Relative or Friend
S_ 0 O 17 IF
3 f-l-G1atz;e,, —
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o, .:LPIA C. Z :1L f_ G .'....:: L :fir+:J� heirs of ";nil Zral
ht'roby Ave our c*xrscI!t or Lied rt iVdt? Z^al to by Uur'led
in Block 63.Lot ac'co 3-A, also Ruby ''70&1 in place
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I 7, i)-.•ovic:ed s:le c 000 not �:a_-rye
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Edna C. Zeal
Corene Ze Vrcvn
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Dated July 2, 1960o
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