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lot No
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Block No.
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Ott• paid, $
Ccrtifivatc N0-
Deed Recorded Book
Date Sold
Date
Transferred to
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Na rt NAME OP DECEDENT
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Page
6 Lot No. `r
Block No• /
Name
Residence Amt. Paid, $
Certificate No. Deed Recorded Book
Date Sold Date
Transferred to
/ Lot No.
Flock No, (�
14000
Residence Amt. Paid, $
Certificate No, Deed Recorded Book
No Date gold Date
,Transferred to
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Sex Color CAUSE OF DRITS
PLACE OF DEATH Month, Daya Year alonlh Day
PLACE OF BIRTH Ynn
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Block No.
Name
Residence
Certificate No.
Date Sold
Transferred to
Lot No.
Amt. Paid, $
Deed Recorded Book
Date
Page
PLACE OP INTERMENT
Grave Permit Cnre Name of Undertaker, Conner, !
DATF, OF INTERktRNT Na or Phyatrlon NUNAt Fee
Block Lot Nut ]relative or Fria"! REMARKS
year Month Day .
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