HomeMy WebLinkAboutCemyBk2-pg68Lot No•
Block No.
Name
Besidcnce Amt. Paid, $ Page
-7 Lot No. / � y
Block N0
Name
Besidence Amt. Paid, $
Certificate No. Deed Recorded Book
Date sold Date
nsferred to
Block
Name
Residence
Certifcatc No.
Page �' Date Sold
Transferred to
Certificate No. Tra ,
Deed Recorded Hook
Date Sold Date
v
Transferred to
I
1
I
1
d
i
I
I 1
Lot No. ( 0 5
Amt. Paid, $
Deed Recorded Book
Date
Page
i,
Block No.
Lot No.
Name
Residence
Certificate No.
Amt. Paid,;
Date Sold
Deed Recorded Book Page _
Transferred to
Date 1
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c_-- - -- DATE OF DEATII Grare Permit Gmre
. - --- - - A� CAUSE OF DEATH DATE OF INTER3SENT PLACE OF INTE Name nt Undertaker. Coroner, heamt Relatbe or Friend
--- - 8er Color No. No. Fee
- - - _ --" Year ,D[oath � Dal ]fonth Day Block Lot or Phra@Ian
., ,,•.m.. o.o..:.. ,:....o• - PLACE OF DEATH Yeam 3lonths Dara Year _ .
EST PLACE OF BIRTH
%N of FARE or DECED
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REMARKS
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