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Lot No. x„
Block Nro.1/
Name'
Residence ✓ Amt. Paid, $
Cerdre--"te No. / 9/6 Peed Recorded Book
L y
Date Sold . Cor%; �'/ �
Date
Transfcrrd to
NAYS or DECEDL%r
PLACE of BlITll
PLACE OF DEATH
AGE- DATE OF DEATH
Sex Color
yt.es Noa2r Barr Year Mooch Day
CAME OF DEATg
Mock NO..?/ I m No, _V
Name (9--�C( i b. (" liy_ 1� -
Residence ��/L
Certificate No. 23 7 c/ ''Amt. Paid, $
Date Sold M// T / / t� 1% Dced Recorded Book
Transferr to Date
Block No. $ x. Lot No. -9—'
Name
Residence
Certificate No. Amt. Paid, $
Page /A: b i Data Sold
Deed Recorded Book
Transferred to Date
Page
2.A
DATE OF INTERMENT PLACE OF INTERMENT
Grave Permit No. Grave Fee Name of Undertaker, Coroner
Year Monty Oar Block Lot No. or Physician Newest Relative or Friend REMARKS
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