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L°t No.
Biotic No'
Name
Re.idence
pmL Paid, $
CertifuAte NO.
Deed Recorded Bo°k
Date Sold
Date
Transferred to
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6 / Lot No.
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Name
Residence Arat. Paid, $
Certificate
° Deed Recorded Book
Date Sold Date
Transferred to
PLACE OF DEATH
7 j_ J I Lot No. 7 /
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idOCO A at. Paid, $
ceocate 140' Deed Recorded Book
pre. Date Sold Date
��red to
Page
Black No. 7 7
Lot No. �
Name S
Residence
Certificate No, Amt. Paid, $
Date Sold Deed Recorded Book Page
Transferred to
Date
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DATE OF DEATH Crave Permit Grave Name of Undertaker, Coroner,
AGE Sea Color CAUSE OF DEAIE DATE OF INTERMENT PLACE OF ILot No.
No. No. Pee Neared Relative or Friend REMARKSREMARKSYear Month Dal Block or Phralr4a
Yeah Itonthe DaFa Yeu Montle DAY
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