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HomeMy WebLinkAboutCemysmBK#3-pg138RECORD OF INTERMENTS No of AGE Social DATE OF DEATH laterwenl r'! NAME PLACE OF ➢IRTII LAST RESIDENCE — SEX I� Years Months Dale State Year Month Day CAUSE. OF DEATH 1 CITY OF CALDWELL, IDAHO I DATE OF INTERMENT PLACE OP INTERMENT P<rrnit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND R E M A R K S You Month) Day Section Lot -1202 00 _7 q -f cli 2211 3- 5� Ga Q °C/1-7 00ova - ell 211 LA / ad eL SC �,