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4. RECORD OF INTERMENTS
Date of Death
Age ---- - - � - -- — � S«1ni CAUSE OF DBATB
r,rRe M,eneri e,lle(ll. l{,.O INCIO SEX
u �—___ State
LAST RESIDENCEY
Months DanYear Month Day
No, el NAME FLACF. OF DIRTII Yea" -
latomenl
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40
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Zzu l97
10,
410,
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ills
CITY OF CALDWELL, IDAHO
Date of Intorment Place of Interment
Permit LOCATION CRAVE PEE
Year Month Day Section Lot
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R71 47 zt�? 741,`/J
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NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND REMARKS
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