HomeMy WebLinkAboutCemyBook1-name+YOD0338I
LT
/J6
Lot No.
Block NO -/
//
qq 7
Lot No.,1/3 J �/ / 3 S
Name
_ ... . _
Block No. b
Block y
Residence -
Amt. Paid, . $
Name
Na.
peed Recorded Book Page
, Certificate
Residence
Paid. S
-
pate Sold
Date -
Certificate No.
Certificate
Page -
D.ed Recorded Book
-
Transferred to -
'
pate Sold
Date
Transferred to
PLACE OF BIRTH PLACE OF DEATH
N0. GE NAME OF DECEDENT
Interment
a,, " ,0 ,
J"
/u97 tt
A
• I s F 5 .�.�.,A,-e.Qk., %0L*
U Co &dw-"
(Z Gt� °1� G eiQ a Cw
l 8 I � •,�rt;.t,Ci<., , �a..QcCu,.e,f.QJ
189 Lo
�3a v el cLa
/ �`f/ Fit
t
c"
Gy. ICI , � � �`'`° �-� •
y list I u lam- + e, t %YLt�Eat a
57sg aatih-�- 44 � i t �'L°
ul-
k
I
�— Se: color
Year Month Dar
Year, Mouths Day,
}
U
n
Block No. & 7/
Name I.ot No, /J / f, o
7 ell Block No.
Residence
Name
Certificate No.
Amt. Paid, f Residence
Date Sold i). d Re Certificate No.
e corded IIcok
Transferred to Page
Date Sold
Date
Transferred to
lAt
Amt. Paid, g
Deed Accorded Book
Date
Page
Grave Fee Name of Undertaker, Coroner Ncarrst Relative or Friend REMARKS
or Physician
�z�- 9--�— G� � y_ ° 89 9 ed 4.3.per�.—__ - - -
00
lq5 3 '�.71 tcQe�•a'vv`
77•'/y
12.4 -- °
/Qa7 5[ / T 3UL1 ` d �Q�—�4.t?—�30 6 `l- 7 Z-3---�5--
5 -25_ .__G,� tea-- -z -- 6-7__ -ff_,u-
�. - • �92 / s � z ,�rA.�d�� �1. viz ,
/f�2.7 _ 5 _D 6_ _ G - 13 G--y. .
yy� /9.2y s za , '�Z °° 7/ p
�3, 2---_70 '�
_ b•
bq a7 19a a a r ' )'�'I-"..�"-"-----/yiB... a� _ G . _ ay
'f li I / 7 711 • / 9.� y-
i
sl I, 8 1y.�9 q a9
-L.2 - �— , --
6 3 .. .• / 9 3 o a i 6 l�c�s�,v m,awu-a--- _ -- / ../_i2---- - C` .11._�.e_.�.�.-. -
73 4 9
C'
w_ — -- ---
41
ka P� - - - 7 n • •, /g3 r . a 6_!y31__— lya I-1 'o
z7Calla
� t
1137 3 zJ 937 . � _�,,�- , °el
7�4._Vj r,� ��� �,,,� �� � G:�.�'�`'° •
cdAA
d°"r^
} c , c >n W / 9 µ o l 9 c o i d uax y / q. y o. s a a..� l / 9• / �� ��/L l/ ,zG �t-�-�-a �-� �.
y_ c A3 IAI- J 4 �y 6' 1 ,%.• /Ys�Y s' °2z ) y Noy. _ a / �j�� 0' `�.,' ��yy �� z, '
fo y S11 p r✓ V ° , /v i FLI�IiI
a y . y„ w i yV 7 � 5 �ek.ttuic%� / 9 y7 3 � G � J y % oZ � o ': ' • - ��� C/,i •!�r'�-
JOY
9/ ,6/�f �.c�.0 /9-3v _. 1 .2� . 6 y /AP y`�
?
71
7 ��
lq w �q,y 7 -_
/ 7 �����
�R-.1.9s` _ q J
i Z �, l j j I I 11 �,-- -?-11— l'� � 1, a/ `t bt°�`
�� o w /ys?
- _ - - - DATE OF INTERMENT PLACE OF INTERMENT ---
Grave permit No.
Yar Month Day Slack Lot No.