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RECORD OF INTERMENTS
Date of Death
Age Social
E _�-- SEX State
Stontha DAYS Year Month I
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No. of NAME PLACE OF BIRTHLAST RESIDENC
Interment
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Dab of Interment Piece of Interment
Year
Month
Day
Section
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Lot
CITY OF CALDWELL, IDAHO
Permlt LOCATION CRAVE FEE.
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NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND REMARKS
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