HomeMy WebLinkAboutCemysmBK#3-pg128i1 �e�s
RECORD OF INTERMENTS
CITY OF CALDWELL, IDAHO
CA",
AGE Soul DATE OF DEATH
` CAUSE OF DEATH DATE OF INTERMENT PLACE OF INTERMENT Permit LOCATION CRAVE FEB NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND
i ! I No. et NAME
SEX State Year Month Day Year Month Day Batton Lot
PLACE OF DIRTR LAST RESIDENCE Yrn, Montlu Dap
i latermmt w 6 d it,
4/°•C[/V�
13 b i ,,� Q d, �a� °29 •"r:� 63 S /��i3 5 �' �, l,6 y 7 sue- U ,
✓ �" 8Z / 0 5 �1 �l /i63 / �
1 iX3 . S /,J' oI) ) f/,-,a C'
736 7 6 /s
y I d 736 lnl d a r�vi ° �ei� 6 0 l / 9 7/� Zit 1 ��3 5 z l `3 6 - 00
00
37
0
c r ; � `� � l � 1 � '1,U, it t a 5 — 2 f . - � ,�-a r� ,, �,�,tir,�r-r► c ,fi...�uli�c;% .
MCA
y'�z3 �j ! j'� ,� o �' l ��,
737y WIC 11J a�k -
r
% 7396 ®Ce �ni ✓ , ,,,� �, �� }� % ��3. l �UI��Ys o��. `"� " ` %j�a ,t o , �7T� „Cr
73f] liI TYj v p
` \ / ✓ 73yy ,, 1 (/ .�...1,� ,W 9
W/ 1 I 1f63--
R E31 ARKS