HomeMy WebLinkAboutCemyBk2-pg71Block No. 9 eel
Name
Residence
Certificate No.
Date sold
Transferred to
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No. rf -ANE OF DECEDENT
iniriaral
Lot No. I
Amt. Paid. $
Deed Recorded Book
Date
page
Lot No.
Block NO -
Name
Residence Amt. Paid, $
Certificate Ne• Deed Recorded Book
Date Sold Date
Transferred to
Block Na
Name
Residence
Certificate No•
Dato Sold
Transferred to
Lot No. 16
Amt. Paid, $
Deed Recorded Book
Date
DATE OF DEATH DATE OF INTERMENT PLACE OF rNTERMENT GMM Permit Gnre
AGE
Set Color CAUSE OF DEATH Na No, Pee
PLACE OF DEATH �— Year Month Dar ) year Month Day Block tat
PLACE OF DIRTR Yese Months Days
2 /prsy 7 /J Au-A.94 P j AA 7/ 9 .7 z
l?C5Y q Z r 19b? 9-f �. 7
11-3
l,/ ate, 7
;e, 3
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/9s1 3 io leap 3 z 6' 9 /
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7W /939 j
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z//rs y � � 2
6 -), /s5y 9 i- �� a i a
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4-4
41
Page
Block No.
Lot No.
Name
Residence
Certificate No.
Amt. Paid, $
Date Sold
Deed Recorded Book Page
Transferred to
Date
Name of Undertaker. Coroner, Nearest Relative or Friend
or Physician
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