HomeMy WebLinkAboutCemysmBK#4pg17-0054r 1 RECORD OF INTERMENTS
Data o(DeaW
a I Age SFC Social CAUSE OF DEATH
Ne. of NAME
Intenaenl
PLACR or wirru LAST RF.SIDENCR
t�I State
�Efoath. I Darr Year -Month _ Dqw
I
7
%Yj I
Zv. /y
t0 . /y4
20 /y4
/94
loll
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26
CITY OF CALDWELL, IDAHO
Date of Interment Place of Interment
PermitLOCATION CRAVE PEE. NAME OF UNDERTAKER
Year Month Day Section Lot
Or
J
Aw#
i
lye z M �_ 12v)y Glib
171el 4
7
NEAREST RELATIVE OR FRIEND
REIRAEES
17