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Deed Recorded Book
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Sold
Page Date
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DATE OF DEATH
Year Month Day
Page
CAUSE OF DEATH
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Name
Residence
Certificate No.
Date Sold
Transferred to
Lot No.
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Amt. Paid, $ Residence
Dccd Recorded Book Certificate No. -
Page Amt. Paid, g
Date Sold
- _ Data_. Dced Recorded Book Pace
Transferred to
Date
DATE OF INTERMENT PLACE OF INTERMENT — �'-- ---------- _ __
Grave Permit No. Grave Fee Name c: Undertaker, Coroner
yeu Month nay Elect Lot No. or Physician Nearest Relative or Friend
REMARKS
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