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No. of
Intersoeal
NAME
RECORD OF INTERMENTS
PLACE OF DIBTH
LAST RESIDENCE
Team
Age
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Date of Death
Year Month Day
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CAUSE OF DEA7R
Data of Interment
1
Place of Interment
CITY OF CALDWELL, IDAHO
Permlt LOCATION GRAVE FEE
Year Month Day section Lot
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or
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CIO
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NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND REMARKS
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