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Na. of NAME
Interment
RECORD OF INTERMENTS
PLACC OF BIRTH LAST RESIDENCE
Age Date of Death
SEX Bodai State
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CAUSE OF DEATH
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CITY OF CALDW ELL, IDAHO
Date of Interment Place of Interment
Permit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND Year Month Day Section Lot REMARKS
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