HomeMy WebLinkAboutCemysmBK#4pg69-010669 ----- RECORD OF INTERMENTS
Dote of Death
nnnn, arem�, 11.o muw Act SEX Social
i 4 LAST RF.SIDENCP. year Month Day
No.ll NAME PLACE OF 011tT11 1'em Months Days
�Z
4dj
CITY OF CALDWELL, IDAHO
CAUSE OF DR ..-._------ —•----- --- �
Data of tatorment Place of Interment
Permll LOCATION GRAVE FEE Year
_ Year Month Day Section Lot NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND
REMARKS
29�y Le�i
o
/q.4 tea.. /� &Ll
69