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No. or
Interment
RECORD OF INTERMENTS
Date of Death Date of Interment
- - - 1 As* SEX dal CAUSE OF DEATH:
LAST RESIDENCE �State Year Month Day year Month Day
PLACE OF BIRTH LAST
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NAME
CITY OF CALDWELL, IDAHO
Place of Interment
Permit LOCATION CRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND
Section Lot I
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