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Block No. 'J /Y
Name
Residence
Certificate No.
Date Sold
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Lot No.
Amt. Paid, $
Dcrd Rt•corded Book
Dale
'�e' NAME of DECEDENT PLACE or BIRTH
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Page
Block No. 5
Name
Residence 7 /3
CertificateN A 4
Date Sold
Transferred to
Lot No. 2,
Amt. Paid, $ 66
Deed Recorded Book /
Date
AGE DATE OF. DEATH
Sex Color
PLAFE OP DEATH Year Mooth Day
Von Moo:6s bars '
CAOEE-OP DRM
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Block No. S 4
Name �. Q • �y✓�
Residence (�
Certificate No. 73 6-
Date Sold Mcuj, ,3 /9a 2-
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Lot No. 3
Block No. S- q
(/i^` 1`ot No.
Name � i
Residence
Amt. Paid, $ 6 a
Deed Recorded Book Certificate No. to �w
tl Page -2 �/,j � �j Amt. Paid, g � Q 00
Date Sold 1- j q !J z I
Date / Deed Recorded Book PagD_2�. 7
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Date
DATE OF INTER)IENT PLACE OF INTERMENT
Grave Permit No. Grave Fee
Year Alomh Day Block Lot No.
Name of Undertaker, Coroner
or Physician Nearest Relative or Friend REMARKS
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