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Block No. J S
Name
Residence
Cerlificate No.
Date Sold
Transferred to
No. of NAME OF DECEDElTr
Interment
Lot No.. 13
Amt. Paid, $
Dccd Recorded Book
Date
pt.A= or BIRTH
Lot No. J u
Block No. 5 `�
Name
Residence AmL Paid, $
Certificate No' Deed Recorded Book
AGE
Pun of DEATH Sex Color
Yvan Months Days
LAZE Vr LCAl-H
Year Alonta Day
Page
Block No. J'-5-
Lot No. JS
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1
I
Residence
Certificate No.
Amt. Paid, $
Date Sold
.. - - Deed Recorded Book
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Date
IN
0
Page
Block No. S S`-
Name
Residence
Certificate No.
Date Sold
Transferred to
CAUSE OF DEAt7I E DATE OF INTERMENT PIacE OF INTEHMENT Grave Permit permit No. Grave Fee Name of Undertaker, Coroner
Year MaaeD Dar Block Lat No.
Lot
Amt. Paid, $
Deed Recorded Book
Date
Page
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