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CIr101 Ilieilte. CllCttll. ICIMO IIICI
No, of
Interment
RECORD OF INTERMENTS
AGE social DATE OF DEATH
NAME PLACE OF BIRTH LAST RESIDENCE SEX State CAUSE OF DEATH
Years Montle Days Year . Month Day .
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✓ 7 40
7121
712Y
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DATE OF INTERMENT PLACE OF INTERMENT Permit
Year Month Day Section Lot
REMARKS
CITY OF CALDWELL, IDA.HO
LOCATION GRAVE FEE NAME OF UNDERTAKER ! NEAREST RELATIVE OR FRIEND
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