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Block No.
Name
Residence
Certificate No.
Date Sold
Transferred to
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No. of ,-Ami; Or DI:CEDENT
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Lot No.
Amt. Paid, $
Deed Recorded Book
Date
PLACE OF DIRT"
Page
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Lot No.
Lot No.
Block No. b 6
Lot No.
Block No.
� No.
Block
Name
Name
Narne
Residence
Amt. Paid, $
{ Residence
Residence
Certificate No.
No.
Amt. Paid, $
Certificate No.
Amt. Paid, $
Deed Recorded Book
Certificate
Pam -
Deed Recorded Book Page
Date Sold
Deed Recorded Book Page
Date Sold
Date
Date Sold
Transferred to
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Date
Transferred to
Date
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- DATE OF DEATH OF INTERMENT
PLACE OF INTERMENT Grove Permit
Grave Name of Undertaker, Coroner,
or Physiclan
Nesrnt Relative or Friend REIURES
AGE DATE
_�_ E Sex Color CAUSE OF DEATH
PLACE OF DEATH Year Month Day 3.uy Month ' Day
No. No.
Block Lot
Fee
Yen" Months Days
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