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Block No.
Name
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Alnt. paid,$
Certificate NO-
Deed Recorded Rook
Date Sold
Date
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Page
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Block No, Lot No. Block No. Lot No. (�
Name Nyne
Residence Amt. Paid, $ Residence
Amt. Paid, $
Certificate No' Deed Recorded Book Certificate No• Deed Recorded Book
Date gold Date pat' )aC, sold
Date
Transferred to Transferred to
DATE OF DEATH
AGEsex Color CAUSE OP DEAIR
PLACE OF DEATH year Month Day
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Block No.
Lot No.
Name
Residence
Certificate No.
Amt. Paid, $
Page I Date gold
Deed Recorded Book
Transferred to
Date
DATE OF INTERMENT PLACE OF INTERMENT Crate Per alt Crave Name of Undertaker. Coroner,
Block Lot No. No. Fee or Physidan
Year Month Dal
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