HomeMy WebLinkAboutCemysmBK#3-pg3No. of NAME
latemost
RECORD OF INTERMENTS - --------
AGE Social DATE OF DEATH
S CAUSE OF DEATH
State Year Manth Day
PLACE OF BIRT11 LAST RESIDESTC Fx y.... Months Days
bat
f /A
7V7,
Mf
CITY OF CALDWELL, IDAHO
DATE OF INTERMENT PLACE OFINTERMENT, Permit lI LOCATION GRAVE FEE NAME OF UNDERTAKER
yes. TK.nIh FDay Sdl.n Lot NEAREST RELATIVE OR FRIEND
01,q
R E It ARKS