HomeMy WebLinkAboutCemyBook1-name+YOD0296Block No. 9,
Name
III0C
Re>idence
Nan
Ccl'ttneate No.
lt, ,
Date Sold
C.
Transferred to
U.A
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Lot No.
Amt. Paid, S
VA RCCorded Book
Date
Page
9 I.ot No. oc — D 5 -
Biock No.
Name
Residence Amt. Paid, $
Certificate No • Deed Recorded Book Page
Date
� Dntc Sold
Transferred to
DATE of DEATH
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PLACE OF BIRTH Yan Months Dair
CAUSE OF DEATH
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L'lock No.
Name
Residence
Certificate No.
Date Sold
Transferred to
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Amt. Paid, $
Deed Recorded Book
Date
Page
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Block No.
Name
Residence
Certificate No.
Date Sold
Transferred to
Name of Undertaker, Coroner
or Physician
IA., No. .7 9 - 3 b
Amt. Paid, S
Deed Recorded Book
Date
Nearest Relative or Friend
Pag,
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