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k � ' Block No. 0 7 Name Residence Certificate No. Dab• Sold Transferred to J Block No. , 0 Name Lot NO.' gesidenco Certificate No. Date Sold Amt. Paid, $ i orded Book Page Transferred to 1).ed R� Date Lot No. - , j U i r1 BIOck No. - l raato ence Amt. Paid, $ 1 Resit _ Certificate No. Deed Recorded Book Page- Sold Date D r Lot No. - / --2 .� Block No. `lame Amt. Paid, $ Residence Deed Recorded Book Page Certificate No. Date Date Sold -- - - -.- Transferred to I.ot No. a 3 • .2 f-/ Amt. Paid, $ Deed Recorded Book Page _ _.. Date v PLACE OF INTEENENT REMARKS t L--- -- -- DATE OF DEATH - —:— DATE OF INTEEMENT GNo a Permit too. Grave Fee Name of Undertakephy aa Coroner Nearest Relative or Friend Ace a rut CAUSE OF DEATH I' Ulock Y Sex Color Month DDay Year Month DayYear N.ACE OF BIETa PLACE OF DEATH Ym Mouths Days -%f • BIZ /� ' f ,, QQ `r/, _ - -_ _ _---_ No. of HAKE of DEct:DENr - ( p 1 do �0 Iatermeot ��QQ�� � �I�t, � �,t. S // Y' � / 'j �b -�L✓ � '. r9�� � 7.j,_.,,,,�.7,{,•. �aQ.�A,trw+el'�'•_�sut�2.� .�7 I3�----- v I 7 '�'"� ' C --_��f N , , . r � .i,,,i --.. _�_ _-- --• -19- � - 7 - ' 7 tt 5 r . � , ;`Y' �,� J�t,IY."-M1. � •..-r�,..aVJ-t-�+..- - - � - � , n '--- �_9-3 -- -._ (- ---��� ��..��'�-� -. 9_ S '���_. _----- -- — - --- � � .- - - 5 ,,,.• �� ''�.v ��,. s'd,,,N-t,-�, •-s2.o. ..�aS�- � _ •j,,,.� ��a_�--�-�.— �-- �2;/y 11�?z—. °. 23 �.ran;,� - __. _ s� s rA� J y /��.,•t.ler �+.ccin.�-, � �. a,A, �aQ.d�,.v-¢,�A.� - - ....1--- S_12.. ,._ .• J93 -9 -.-- -----_ /� -- - --- - io15 ' • 7.U��•�y 9"cLa..Q�•o ----=' I 143� /o _�(_._._ �-- oo/ 7 _. _ -- -- 0 � ..?c'� f�.t.ww r.3a /o__�.Z. __ __.� --- 3•/i Z /Gl __k l:,V_. --- ���� - `(�lLd� ?:�aG �ra�aalZ,�cQ� w 13 __ au 3� YYLtQRw. �, p�,�iiu �dA in o 62_ _y �q- �eank r _ !y3_.o.._[2--5 _,t,° '� ; ���uti+ %eat o a t _. _/L _ - --- + -- - - - - U 20 40 � o1van,�•t � °.Tcla.k,w b_f _ a-.�o--- �•----= /93.v_/ 2 / .� c� ..____'S-�---- � 2-`� � do �. U.'%ll'v —y3o .1�. - S.�F �a4rq �a vt e� a,- —--/_y3o _ !�� --`-- --57- a `l —--'tNJe�eJ - / ✓�or i:.r�����f ��aC�o s /S br►• 1g31 .S__..-31 - - --- 5 J8 - s�-' +!';-> t __._. / - - zUm. 7N s- o ��' 3^I- -19,,p �, c -- tom,, - ao 1 -- -I 263.ti K�� , � , o- • r7�� r� ,� 3 � __ � . _.,, _ _ 19�' l l• .1�Y �� , r, -�.%-��-- _.__/�-�-�---.—`_— , t 6 Al 3-z -- -� tt 2Sz3.?3-- 8.-�-- --'. � qH 5� ��f�•-t-'•�i � �h«.u�% q �-�-a.o J cQ.ct�%,o � 1-- _ � 3 _ _ / �'� I�JL.e%��"' /y ,,� p /� p s '--tea.---� ---/ 93-8--�-:. _/ / ..- ,p •� .� � �° `T r� 6v�.�✓ t , m i �i�fz 1/ . 6.._.._. _3`7• S 7S- Sr.�/...3_. 6v ../9�Z. f[. ,3. as? 3 0 r�iv- 7 I.3 -- 7 . / �,:G4�/�r'.'. aw y 37 7 & �-. ,ba,wt aLf,( oijt o ryt t d _ , eiv� Seal /9 ¢ 7 - / ° � S 7 `� 5 / o � IY�.t 4 - yo v l . D i y y Y � �1 �v , G,Q �7 7 � 1 �1q u� . /9q7 _ / a __ tS o � �'' i / `1 � i1 / % 40-0 / / , , s.� ._Z /O _ Xis y Ll c/G. W� �ii �iU o-�ia %C li u o cto AX-94-G%h��t� % ! Qp a° f a ✓ l �� 17 . Maff Wtht C.2E.�. ��Q��iv n n �b �.��f e IC( � 7 iS �7 �O - y ®� YI 7 J �� 'yam ,,/J r� ,-:;,f 'l,�,�i i� / .�ZO O W Q�Lt e�4J) t eY v v, ✓I�� �� .. (7 I V �✓ - / I I' 2- . .�J / 2'� f 7- r 1 0 x �r� G J S °td ! (� 1 - ' s !05' `// I ��;d�'Q e�<t ®j lifl'� 7� -S .�q - P� r'''`^�� "_ �d/ Y . i J !L,' / - u%--.��1�.__� _ .8 �%t1' / 5- °d�YtG( �7 �. ,� �!'1 G(J /YS�. /p. �rt� .1%�•5__ _—L]_-: 7 _ L 6 �-