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F Certificate No.
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1),ed Recorded Book
Date
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I Name
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Certificate
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!I Date Sold
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Dcrl Recorded Book Page
Date
DATE OF DEATH
AOg CAUSE OF DEATH
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year Mouth Day
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Block No.
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Certificate No.
Date Sold
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'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
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Amt, Paid, $
Deed Recorded Book
Date
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