HomeMy WebLinkAboutCemyBk2-pg34Block No. 6
Name
Residence
Certificate No.
Date Sold
Transferred to
Lot No,
Amt. Paid, $ -
Deed Recorded Book
Date
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No. of PLACE OF BIRTH
NAME OF DECEDENT
Interment
Page
Block No.
Name
Residence
Certificate NO.
Date Sold
Transferred to
Lot No. ire i �6
Lot No.
Block No.
- - i NOD1e
Amt. Paid, $ { Residence
Deed Recorded Book M No' Amt. Paid, $
Ccrti6coteDead Recorded Book
Date p`� Data Sold
Date
i Transferred to
_ — DATE OF DEATH
AGE Sex Color CAUSE OF BEATS
-- Year Month Day
PLACE OF DEATH Ytara klonths Days
i
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23
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Page
Block No.
Lot No.
Name
Residence
Certificate No.
Amt. Paid, $
Date Sold
Deed Recorded Book
Transferred to
Date
DATE OF INTERMENT PLACE OF INTERMENT Gnve Permlt Grave Name of Undertaker. Coroner, Nearest Relative or Friend
No. No. Pee or Plpeieian
Block � Let
Year Month Day
E �y S- G
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17
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