HomeMy WebLinkAboutCemyBk2-pg36Block No. 4 CD
Lot No. I I
Name
Residence
Amt. Paid, $
Certificate No.
Deed Recorded Book
Date Sold
Transferred to
Date
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No. of PLACE OF BIRTH
NAME OF DECEDENT
Interment
Page
Lot No.
Block No. (0 G
Name
Residence
Amt. Paid, $
Certificate No.
Deed Recorded Book
Date Sold
Date
Transferred to
/ / S
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Block NO.
Nonce
Besidence
Certificate No'
Date Sold
Transferred to
W
Lot No.
Amt. Paid, $
Deed Recorded Book
Date
Page
Block No. 6 G
Name
Residence
Certificate No.
Date Sold
Transferred to
i
1
Lot No. / 17
Amt. Paid, $
Deed Recorded Book Page
Date
- -- ----� DATE OF DEATH OF INTERMENT PLACE OF INTERMENT Grave Permit Grate Name of Underb4er, Coroner, Ngrtat Relative or Friend
-- -" - - - ~- ACE Set Color — -- CAUSE OF BRATS DA' No. No. Fee or Phrefeian
� Year Mouth Dal � Bloch
PLACE OF DEATH Lot
Years Months DpIa Year Month Dap
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