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Lot No. 7
Block No.
Name
Residence
Certificate No.
Amt. Paid, E
Deed Recorded Book
Date Sold
Transferred to
Date
LiliCll ei:Fl Vf. L1LY�IIL. ,YI,IY L:LI• - _ - - -
No. of NAME OF DECEDENT PLACE OF BIRTH
Interment
Page
Lot No.0 6 6 Lot No. l
Block No. Bldg No.
Name Name
Residence Wsidene°
Ant. Paid, S Amt. Paid,;
Certificate No. Certificate No
Deed Recorded Book Deed Recorded Book
Date Sold Pace Dato Sold
Date Date
Transferred to Transferred to
Page
Block No.
Name
Residence
Certificate No.
Date Sold
Transferred to
Lot No.
Amt. Paid, $
Deed Recorded Book
Date
Page
- -- — -- DATE OF DEATII NT PLACE OF INTERMENT Cray* Permit Craw Name or Undertaker, Conner,
AGE 90: Color --II CAUSE OF DEATII DATE OF INTER No.
No. No. Fae or Physician Nearest Relative or Fdead REMARKS
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PLACE OP DEATH year Month
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