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RECORD OF INTERMENTS
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Ate
I Date of Death
CAUSE OF DEATH
� SEX god" of Interment Place of Interment
state 1 ,
Year Month Day
Year hionth Day Section Lot
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19� 2, 9
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;7 2
74� 194 7 J
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CITY OF CALDWELL, IDAHO
Permit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND
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1W 2 a�l 46
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7
1941 7.7
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REMARKS
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