HomeMy WebLinkAboutCemyBook1-name+YOD0209Lot No.
BikMk NO.
Name Block No.
Black No. pe;idrylee Name
Nave AmPaid, $ Residence
Certitieate No.
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I)ce9 Recorded Book r Certificate No.
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Cercifirate A�. ragt Date
Data Sold
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Lot No.
Block No,
Name IAt No.
Residence
Amt. Paid, $
Certificate No.
Deed Recorded Book page Amt. paid, $
Date Sold
Date tired Recorded Book Page
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Date
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AGE DATE OF DEATH -----
t a3 _,; ;;; ?UXF OF DEATH CAUSE OF DEATH Grave
TH Sex Color �,� DATE OF INTERMENT PLACE OF INTERMENT
- - - vma Mantra nap Year Monthnir No Permit No. Grave Fee Name of Undertaker, ciant Coronet Nearest Relative or Friend
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