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RECORD OF INTERMENTS
CITY OF
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CALDWELL, IDAHO
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ACE Social DATE OF DEATH
DATE OF INTERMENT .PLACE OF INTERMENT
Permit LOCATION GRAVE FEE
NAME OF UNDERTAKER ! NEAREST RELATIVE OR FRIEND R E M A R S R
No. of
NAME
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PLACE OF BIRTH LAST RESIDENCE Yean Months Dale Byte Year Month _ Da7
CAUSE OF DEATB Section Lot �
Month' De1
Interment
Year
v 7/6;- Y i
7/61 Qµ (>�a'oto I, ,�—a �✓�
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716Y ;`ter f T V/
Y 7171 o(2,(
7/7-�" tau ✓
717. ?# e k%
QJ
7177 � -�
717
�) F6 ✓
71 r) �,WN
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oc4 / i� �?j 7V /jam 2- ,2/ j g 67 o v
22- ti .w &.2, j 22- ! �l7�L �i 2 ��6 7 �- 0�5' 00
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71
° 7� / %s. /��z
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2, y �� 7 6' Fe y
79
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