HomeMy WebLinkAboutCemyBk2-pg72.
Iat NO. ;
Bl Block No. •7
Na Namc
B t paid, $ page
Re Residence m
Cc certificate NO* Deed corded Book
Da pate
Sold Date
Tr' Transfemd to
<A21C� YYf„T......041'..e . VW
Na No a NAME OF DECEDENT
lobo Imeromt
{� Lot No.
Block No.
t Block No.
Name
Nyae
Residence Amt. Paid, $
Residence
Certificate No• Deed Recorded Book certificate No,
Date Sold Date?' Date Sold
Transferred to Trosferred to
1
Lot No. / 7
Amt. Paid, $
Deed Recorded Book
Date
Page
,^ r
Jr.-,
Block No. Lot No. /
Name
Residence
Certificate No. Amt Paid, $
Date Sold Deed Recorded Book Page
Transferred to Date
DATE OP DEATH
-_ - .-- -- - - - A� Sex Color CAUSE OP Tfi PLACE OF INTERMENT Cm. Permit Gram Name of Undertaker, Coroner,
_ - Year ),tenth Dar DEA DATE OF INT'RItISENT No. Na pea
- HlotY Let or YhralrLn Nearest Relative or prlend REMARKS
PLACE OF DEATH Years Months Dora Tear Month Dar
PLACE OF BIRTH
63 ?13
ar,r,
7),3
IO�1p � �fyyvt.r�,�,71 rf-a'�
6913 non
-10
699 166 K K K
69f 70IJ X
py
657 7135 � r4
6 0, 7161 ��n� 7�la.L�vrl oO
663 7111 }rye
plc 7(9i -�o ilk�Jy,,���
1711 "A
�zsb
�7 b `lzsy. A1
ij l 73?� r r
� 81 7yz7- ���,� •7ZIw ' �� �,
Fri
r
/6 /Q —,k1 / ` a f f9 � l��a /� . 3 G3 . JZ f
w 100rll /c6 Le / I. ':�-
12,
- tii1 /9G/ .9v
�—.�2 z
/ o /,3 ?27 7W /�6/.
- - rn w /yv//
/yJj2. 2 19" i 3 (3 of J Y 6
'2w /962 3
Z 7�v /9�7-/ d J `f : /f�9r / S' 7
as_
�°, : l (6