HomeMy WebLinkAboutCemysmBK#4pg101-0138RECORD OF INTERMENTS
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No. el NAME PLACE OF BIRTH LAST RESIDENCE I _
Interment Yean 'Dlonihf
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Data of Death
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State
Days Year
Month
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CAUSE OF DEATH
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Date of Interment
Year Month Dar
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CITY OF CALDWELL, IDAHO
Plate of Interment
Permit LOCATION GRAVE FEE
Section i Lot
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920
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d240
/2p 1y 1/�o
(20
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NAME OF UNDERTAEEE I NEAREST RELATIVE OR FRIEND REMARKS
101