HomeMy WebLinkAboutCemyBook1-name+YOD0223�„ Lot No. �
Block No. � 7
Name
L.% 7
Rc=idcnre
Amt, Paid,
Crriilicak No. �� )-
I)ted R;carded Book /
pat" sold
Bate
Traa-fcrrcd to -
Block NO -
Name
Residence
Certificate No.
Lot No. / e2
Amt. Paid, $
D;el Recorded Book
Page O 3
Block NO, 1 /
Name
Residence
C rtificate No.
Pave - "Bate Sold
U:• Transferred to
Lot No,
Block No. 5, l
Name l.ot N o. i =�
Amt. Paid, $ Residence
Deed Recorded Book Certificate No,
Pate Amt, Paid, $
Date Sold
Date Dce,l Recorded Book
-- Transferred to
Date
Aoa DATE OF DEATH
Sex Color CAUSE OF DEATH DATE OF INTHRMENT PLACE OF INTERMENT
PLACF. OF DEATH Grave
NAME OF DECEDEh-f PLAcs OF Blhrn i No. Permit No. Grave Fee
Name of Undertaker, Coroner
r_..-... _... Y"t, Months Darr Year Month Day . i Year Month Day Block Lotor Pbysician Nearest Relative or Friend RE
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