HomeMy WebLinkAboutCemysmBK#4pg13-0049lopmr -t `; RECORD OF INTERMENTS
'.M. MOM, eue•r. t. c..o m.aa Date of Death
r Ate � Social
-� SEX State
.N.. of NAME. PLACE OF RIRTii LAST RESIDENCE Year Month Dal
1'ran hlonlha Dap
Interarnl �
70'
73
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CAUSE OF DEATH Date of Interment Place of Interment
CITY
OF
CALDWELL,
IDAHO
Permit LOCATION GRAVEFEE
NAME OF UNDERTAKER
NEAREST RELATIVE OR FRIEND
Year I hfonlh Day
Section
Lot
W'Ll
+e / / Z /
47
�rY
20
/ 7
4 �
`o �N
Zv Y"
/a 9//
r,
/'ty
67
W//- i
110 k
' d y
/M,'7
7
/947
rr'
417
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REMARKS
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