HomeMy WebLinkAboutCemysmBK#3-pg40uvoe n.erna, mao¢i. muo nee
No. of
f Interment NAME
RECORD OF INTERMENTS
AGE Social DATE OF DEATH
PLACE OF BIRTH LAST RESIDENCE years Montle D■n SEX State year Month Day
v Sy J 7 0 Gt.l ✓ r
' s vay 6A'Ie m
$yyI p/0"u. Ct
e5y�a
sy y 1 e � 1 J),WA
01,
JAP 7z /yam
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1 g53 � e2 �
CAUSE OF DEATH
CITY OF CALDWELL, IDAHO
- DATE OF INTERMENT
PLACE OF INTERMENT Parmit LOCATION GRAVE FEE
Section Lot
Year
Month Day
14S=3
jr9
6 y
9d,8�(.
r2
1�63
:7
76
y33
.2 d
Z5 P
5�3
7
,7d
/ . o c
SY
J-7
17
o 0
°
NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND R E 31 A R K S
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or
1-7
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C
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