HomeMy WebLinkAboutCemyBk2-pg5/ Lot No.
Block No. EJ
Name
Residence
Certificate No. Amt. Paid, $
Date Sold Deed Recorded Book
Transferred to Data
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Block NO- Lot No.
Block NO, Lot No.
Name Name
Residence Amt. Paid, $ Residence
Amt. Paid, $
Certificate No. Deed Recorded Book Certificate No.
Pith � Deed Recorded Book
Date Sold Date Date Sold
Date
Transferred to Transferred to
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Block No. 6 � Lot No. /
Name
Residence
Certificate No. Amt. Paid, $
Page Date Sold Deed Recorded Book Page
Transferred to Date
- - - - - ACfi DATE OF DEATH DATE OF INTERMENT PLACE OF INTERMENT Grave Permit Grave Name of Undertaker, Coroner, Neaml Relative or Friend
AGE Ea: Color �— CAUSE OF DEATH No. No. Fee or Phyelelan
LACE OF DEATH Year Month Day Block Lot
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PLACE OF BIRTH yeah Writhe Dsys Year - Month Day
REMARKS
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