HomeMy WebLinkAboutCemysmBK#4pg53-0090TERMENTS
r ; 53 RECORD OF IN
Date
e of Death
Are Sorlal
u. SI:CAUSE OF DE
nm.rr.enn, 1i^.
Year Month Day
Inn Vonihr Da)+ PLACE. Or OII3T1i LAST RESIOESCE a
NAME
— d
--2�
wd
�,
r � / / `' t(T l-G�t•G Lilb(ll�� Ii.O(K�'4/./`�/' • '[.��Mi/ L'� �j ,' I �V �L�,
'
�
t
q r c-ae-t-C-� CU f7UGc7-Ll/• • G
Zk77
EM
CITY OF CALDWELL, IDAHO
----------------
Date of Interment Place of Interment
you Mouth Dv Section
Permit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE. Olt FRIEND I RESIARFL4
I � i - -
9/ �- • .: 1r7 /.7 � �f'7 rJ0 �° ' V .aS�.�,(., V � `� / 3.�Q�R., L/
�/Z le _�� %�� ' ;7a
u
t
ig
rJ if
c-Y. ✓1!r`v c'—�_ j /O. - { C.J' V �e) 'Jr/
c.
ledl
/y f
I
�- % �j 1P fir. •� rVl/ � ��t.�c a�'� h�.-�,%��� �z�,��':_ . "'�,�? -