HomeMy WebLinkAboutCemyBook1-name+YOD0239tit
Block No. ril
Name
Rtsidence
CtaiReste No.
•., Sold
Trawftucd to
6 :.i lirrarJnl Book
Page
Date
Na- 4 NAYS oy DL^_EL"etiT PLACE OF BIRT}l
Intemml
Block No. 5 y
Name
Residence
Certificate NO -
Date Sold
Transferred to
Lot No. 67 S' y
Amt. Paid, $
Dced Recorded Book Page
- -- Date •_ .. -
• s
1
}Block No. S 1 Lot No. 5-3 sz/
Nome
Residence
Certificate NO. Amt. Paid, $
Date Sold Decd Recorded Book
Transferred to Date
Block No, s^y
Name Lot ?'Tr
Residence
Certificate No.
Page Amt Paid. $
Date Sold
Transferred to Deed Recorded Book
Date
Page
99
AGE DATE OF DEATH - --- _
DATE OF INTERMENT PLAN OFINTERMENT
PLACE: OF DEATH Sex Color CAUSE OF DEATH r .ERMENT Grave - — ""--- - -
1
t
Ynn Months Day$ Year Month my Year Monty Day Hlock I-ot No Permit No. Grave Fee Name of Undertaker, Coroner
- or P67sician Neatest Relative or Friend REMARKS
ao 7/
=t� � r�o. �1 • C�-�-�l�.a.>n,,.. _ . _ • I�U`i,� °�,Q�.�.t,F,
-_cga�a--.�9 -r� _ _ _rya a --a/ 5� SS'- / l °O
y - Qa _
-ee
/s..- f>-��./o_ l _� ssl s3__� /o'°_/.�1.C�._-j
_!8- . 3 / � . ° /yz�. _/a :_/.� �'°2cu�_Y.Qn¢,w�raa,M_c�-- _19a�. /a_ _/6 �•'/ 65 � 133 . - / 0 " �. _7J,�/-7 r• / p -_� ,
7� y2/_._.�=--.1q;29 a-.!6. 5 �s. ��—-LD
Ct
.a_zrl
5a �- ---s ---�" -{A^r'G�ld/(�-t� e
00
fa
63. 6 a'277., ,. }93o a__ l8`_i�.�fkzuc _ , /qaa a
--
/ o o U a�& J
m7 - l30. 5-as - / 5 AS s�! s s 6(0 -- -- -
M1,
`� /yy/ 9 /.a. �'y �3 / // 5--/d.ev- pl
` -' I.
i- - -. ...-------'
�3
a 5'1 / D b .. ----1.-
S l 9'44G /�/ 3
H d-
/o -o c /0 Z Z. Sc,[ 3 p
,- - /-o
z- y l-�
2
7 G /� /,tJ ✓ 9s� �_.. o e�� ��-1� ! 9 SG / �j�7� a- 1 3 >°
- _ ad
zda
1-
�7�63 `" � ll`•�3 �•2Z � '� �l _ /r/ew
�' _