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Block No. j
Name
Ruidence
Certificate No.
i
}
e' Date Sold
Transferred to
I.ot No.
Amt. Paid, $
D,cd lteeardnd Book
Date
Page
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75 79
7 6
7 3
N f DeCRDRNT PLAcfi or BiRTN
Lot No. 61-I S9�
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Block No.
Name
Residence Amt. Paid, $
Certificate NO- D;ed Recorded Book Page
Date Sold Date
Transferred to
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PLACE of DEATH
AGE Sex Color
years Months Days
DATE of DEATH
year btomh Day
CA9sE of DEATH
Block No. Lot No.
Name
Residence
Certificate No. Amt. Paid, $
Date Sold Dced Recorded Book Page
Transferred to Date
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DATE OF INTERMENT
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Grave
No.
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year Month Day
Block Let
G. 0 NAME OF
Interment
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Block No.
Name
Residence
Certificate No,
Date Sold
Transferred to
Va4 r-to
Name of Undertaker, Coroner
or Physician
;1
Lot No. 6 (- 6.i.(0 3- ros1
Am'. Paid, $
Died Recorded Book
Date
Nearest Relative or Friend
Page
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