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Na of NAME
intrrraeal
RECORD OF INTERMENTS
PLACE OF BIRTH
Dale of Death
Aso Serial
LAST RESILIENCE -�- SEX State
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Years Months Days
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CAUSE OF DEATH
CITY OF CALDWELL, IDAHO
Date of Interment
Place of Interment
Permit LOCATION
GRAVE FEE
Year Month
Day
Section
Lot
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NA31E OF UNDERTAKER NEAREST RELATIVE OR FRIEND
REMARKS
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