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No. of
Interment
RECORD OF INTERMENTS Y
AGE Social DATE OF DEATH
NAME PLACE OF BIRTH LAST RESIDENCE SEX State CAUSE OF DEATH
Yea" blonths Days Year Month Day
RY
7567 j' �R v�M ✓,� �z
III ; 75 7i �'
il�IA.,Oi1� t C'w
76
75_ Sa f 7A
y rl5'�i Ili, �lln a
DATE OF INTERMENT PLACE OF INTERMENT Permit
Year blonth Day Section Lot
CITY OF CALDWELL, IIDAHO
LOCATION GRAVE FEE NAME OF UNDERTAKER ( NEAREST RELATIVE OR FRIEND
_0-1
RLUARKS
137
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