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HomeMy WebLinkAboutCemyBk2-pg301 0■ V Lot No. Block No. Nano Residence Amt. Paid, $ Certificate No. Deed Recorded Book Date Sold Date Transferred to unoa maraca, uc........... uua - No. of PLACE OF BIRTH NAME OF DECEDENT Interment Page 4: 9'� Q ') raha f / Gad, I eAA-'A 3 o �I .D / J1963 V �� p n JJ"',,Qnl,y�6.te,- 4 % 05 X�cl�xX kJ G Kc I P�� , 7/W 77 6Nci We I) v Block No. Name Residence Certificate No. Date Sold Transferred to Lot No. Amt. Paid, $ Deed Recorded Book Date Page 6 6 Lot No. Block NO - Name Residence Amt. Paid, $ Certificate No, Deed Recorded Book Date Sold Date Transferred to -- - - - - -- DATE OF DEATH DATE OF INTERMENT PLACE OF INTERMENT Grave Permit Grave AGE sea Color —�— CAUSE OF DEATH No. No. Pee ACE of DEATH Year Month Dal I Year Month Day Block Lot FL Years Months Dare �Ca yy. ii 27! W /9s�Ff is.io ly�F! i2 /3 66 9 Z /7 / �6 .9 e 2. i� 13 (' G : o !N /9f/y / • / / .. ervu lt-,/ + (q1Y. ! . l �- .J-y r{ 14 y (06 ;l e: 3-v-5 -G 36 /n-� . / S ./7 Ov 9.. 6G 3 1k) /V'" to ZS �Lr�iiac wN 1 - o na • 4-1 9 r 2 $-W l 99I it .27 t,�=; t �z„ 19Yy 1. 1 6 d 9 /y� wa s2.. 16 2.3 -w' oQ 6L 3{ .y ry el a 6 04 16 I -rn -VT /?o. 2 5- CL� 19ay. . / 0 1 7 6 6 ° -WA 3 w 176, /v )3 0 t /pv /o .'Z1 L /o„H .2— L /ys-o 0-),j y 27 -4- � � s7 1 (_ . -m >� /93-( l d �Q /?'/0 6 u G 6 /C)��/ 3 Page Block No. Name Residence Certificate No. Date Sold Transferred to Name of Undertaker. Coroner. or Physician Lot No. Amt. Paid, $ Deed Recorded Book Date Neamt Relative ar Pdmd I ,i Page REMARKS r.;,