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HomeMy WebLinkAboutCemyBk2-pg88S IS f � Lot Block No. I Name 3 Residence Amt. Paid, $ 3 Certificate NO-DeedRecorded B00 Date Sold Date 3 Tranefcrred to Page it NO. Lot No. f Lot No. Block Same r Block No. Residence Amt. Paid, $ Name Certificate �'D• Bes(dca` f c Amt. Paid, g sold Deed Recorded Book Certificate140. Deed Recorded Book Date to Date Date Sold • Date Transferred to Transferred Page Block No. Name Residence Certificate No, Date Sold Transferred to Lot No. Amt. Paid, $ Deed Recorded Bool: Date AGE DATE OF DEATH -- ' - Grara Permit - -- _ - .+:m ��— Sex Color CAUSE Ciare Name o! UnderW4er, Coroner PLACE OF DIRTH PLACE OF DEATH Year Month Day OF DEAitl D DATE OF I�,TERAfE*+^r PLACE OF INTELot No No Pee ' Nearest Relative or Fsltad + N. or Teen ltontlu Days Block or Pln.l<Ian NAM¢ DP DECEDENT Tler 31onlh Day W.M1e1 - - i l / o _ j l,r b/ 3 J /7 �fn3 o ' 5 � k_ �'S W '� �/L �e �i�d✓ •�'�,�' yn6 u"1 �Q p z(( �jj'II I 7q33 ,f YY1On , . � u 7 lC� ��'. : � 7L1 / SC? %0 1S". I9�5 � � /$ 6 %�f ti' =� 35 `t C1 �t W/� ��1,�� �,�/!0� ty c t T/' I :•_ ._ -- - lL-_. Z _._ ;1:7 :Lv- /:ECG {. /L/..- _� � "+ , ��•6� GIB �_ �/ ✓//{o �,.. ��%.' -- / / ` / /1 /'.'f < .�- /' "l- it' .J�._�i .-mot 'T' V4 � I I I i I. 1 Page RE31ARKS