HomeMy WebLinkAboutCemyBk2-pg696 � Lot No.
Block No.
Name
Residence
pmt. Paid, E page
Certificate No. Deed Recorded Book
Date Sold Date
Transferred to
N. 01 PLACE OF BIRTH
OF DECEDENT
Inlrrment
70 3F
10
Block No. [� I
Name
Residence
Certificate Ne-
Date Sold
Transferred to
Lot No. 1 U 7 i
Amt. Paid, $
Deed Recorded Book
Date
Block No.
Name
Residence
Certificate No.
RBe ~ Vote Sold
Transferred to
I
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Lot No.
Block No.
Lot No.
Name
Residence
Amt, Paid, $
Deed Recorded Book
Certificate No.
Amt. Paid, $
page
Date Sold
Deed Recorded Book Page
Date
Transferred to
Date
_ — - -
DATE OF DEATH - J- - Grave Permit Grave Name of Undertaker. Coroner. "
-- - - AGE Sex Color �— CAUSE OF DEATH DATF. OF INTERMENT PLACE OF INTERMENT No No. .
Year 2ronth Dar i lock Lot Pee or Physician_ Nearcet Relative or Friend
PLACE OF DEATH Years Months Dap Year Month -
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