HomeMy WebLinkAboutCemyBook1-name+YOD0332E
P
OT
Block No. lq y
Name
Residence
Certificate No.
Date Sold
Transferred to
t t 612, Ct E P' Jica
r4l 4
No. of t.7 t F DECEDENT
Lot No. 6 1
Amt. Paid, $
Deed Recorded Book
6L Ira 3
Page
Date a %
y,f�,y�
/, 1
/ y 6
I.ot No. 7 6 �
6
Block No.
Name 'Ih^'""`4-r
Residence Y
Amt. Paid, $ z 6
No. 7 Z O
Deed Recorded Book /
Certificate
/ Z/'2
Date
Date Sold
Transferred to
#7Z/ 020. �1�//t/ OO 1
FIR
PLACE OF DEATH
Prwrs OY BIRTH
DATE of DEATH
Block No. to q—. ( 7 p
Name Lott No.. � �(,p
Residence /a J"c0yl4
Certificate No. �p q
Page J Amt. Paid, $ d- 0
3 Date Sold /a 7/z1 nccd Recorded Book
•�' Transferred to Page 2 9
Date
AGE CADSE of DEATH
Color
— Sex Year Month DAY
years Yaatht Dare
w
DATE OF INTERMENT PLACE OF INTERMENT
G
Year . Mooth Day Block
rase Permit No. Grave Fee
ox No.
Block No. 6 y-/o � U
Lot No. /
Name
Residence
Certificate No.
Amt. Paid,
Date Soldar-Lu y / 9.i_ l
Dtcl Rccordrd Bmk PaAe -2 2 j'
Transferred to
Date
(o4-7/m„� P¢wn.4.(dGot��`aoJ 6fr9 s/�i� akf
M
Name of Undertaker, Coroner
or Physician
Nearest Relative or Friend REMARKS
AW; i
Interment ^ f} � � / //�, ,.,^/( ( }1}---
_._CAq
.3 G—a //LF/YEA.2- �y.�� �/ 5` lY y tY 9 `1 y9. - --�- ------
or -
n� _&U - - /yzi Y / (o y 70
&AZO- - or �3- 8--"t- w [9�i._S�-Q- 19�Z/. 3 Co q (0 8 �3
��. Q • % � c9.�1 s- � --- �-� � rs- �, � � 7i l _ � � .
p�i� 7�{. c� a,,J<<•� !s' . q 6 7 .3 '7 �_ s� so c v N�
1083 �. IYt� 19�/ 6 a o 5�. 7°z _a. �s� 3 00 r
r /Qp ., oilLr .Wf/�. (%t / !� .7 3
l.3 v
1/2 7 Sr!vmnaYna. -3U,fat�L � `�` �� /91/ . 11 %� is q (°�° �'� �Z9 �` s v
WOW
et 7S'3 8' r1-uj_ml.10 31 eY
)r lb>% 2--7.7 . ILA-
J v
p �' ft
13 n�%�„ - r.� --- -9 G / l 9 s S -°
pp h
//yW`'R/vri t lQVl . n•�Wt.fia mQJI,WtCL su^0. .J_ _.�Q / 0 _ !^t._ •, //.1.2 d /y
1171 C;t� . C . , R,/k / - . r , /9.�z �! // y 1 7 P� 3 9 3 3 oo
00
1�0 0 . /� J Dzda. � - � _ o 00 � -, /9.�.� e� _1�z z 8' 6� � 5 3 � 7 �a ��e.-�
W __/yz� oar .
!f73 , ,1/ � �(. _ ._z/_ /qzs q �i dQ �C�v /z /q g /� 1/• �u,P��t «ram^' t""�' �'
15g0 ,Q� �, �"j- ,t,"hiA. ,Pttkd�t,e22 - _ 39 _ _. er _l9aG /2, �� 7� -�-7 iD GrcF�a<.,
fa c a�O uvt�e __ S
a ,} s.
/4 ao ,�,,Ao,rvt cv, ),.p O--a %• 7`b,t w,`4r�u4"°� - ---- T ( -- /yal l r - �- jr
_ 'L qz 4 � 4 6 6 a, �, J U o o t
3
x673 ' ' �S" ` ,25 he I�(�G 3 1 i3F 3 iz �� G3 /3 /Dov
q y � 7 / CT ��f,�.r�u� � • .
s.29L w /qsJ ./s' _..!y3/ 9 63. l �� /a
I /q D /a /S. y r
`w -�-o � .s 80 /o �iI U) /qOo /A /3, t%�i'V°w`r"� f� /v (off/ 70 /o�,d_.�,u.�r,�C rdiia�'��f
3'f a 0 nn��
Q.� e- 86 a q 3 w / fe p 9 a 9 • 4t� /9 �/ 66 y
q s-�y. �„ �1/ � � �� /� cu /937 / / 9 /o 6
1 -2 � ��
✓�-�,� ' R-o a� �lA.aa�. Cr F7 I %t w 9�f:S 3 ,23 l9S �_ - 6 7
( �t � 'mot, ( � ; s y
rh w /
. 9es J 5 / Sj , 'V 6 y
s1 . ,2 7 `W !9 6 .z / 9 6 /
66 79P �- � d� . d1
s`� 6 z ,�/ 19.s -/ l G y d � 2 °� ,c�J ��• � �����
t 6' 6 2
676y 7 ew. /Fa7 /.e 6 . "°"`�` "° 1 pis �� 6 Y 6 � deb
M't -�' 6, q
C