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I.otNo. 35-3G
Block NO, 60
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Name
Amt. Paid. S
Block No. /
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Residence
Name
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Accorded o0
Certificate
Residence
Residence
Paid, ;
I
Date Sold
Date
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Certificate No.
Amt.
Page
Recorded Bonk
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Date
Transferred to
No. of NAmE or DECEDENT
Interment
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. DATE OF DEATH
AGE $ex Color
._.. _. _ PLACE OF DEATH Yeu Maatk Day
Bari
Dlock No. 60
Name
Residence
Certificate No.
Page Date Sold
Transferred to
CAUSE OP DEATH
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Block No. (0
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Name ,
Amt, Paid, $ Residence
Deed Recorded Beok Certificate No.
Page Amt. Paid, 3
Date I Date Sold
Deed Recorded Boo?c
Transferred to
Date
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No. Permit No. Grave Fee
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76
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Name of Undertaker, Coroner Nearest Relative or Friend
or Physicists
Page
REMARKS
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