HomeMy WebLinkAboutCemysmBK#3-pg90RECORD OF INTERMENTS
CITY OF
CALDWELL,
IDAHO
1
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urroe eu.rru. umuLL. ID.XO 97611
AGE Social DATE OF DEATH
4
OF INTERMENT PLACE OF INTERMENT
No. of
SEX State
PLACE OF BIRTH LAST RESIDENCE YeaM. Months DAP Year Month Day
DATE i'
CAUSE OF DEATH "� Permit LOCATION GRAVE FEE
t Month Day Section � Lot
NAME OF UNDERTAKER
NEAREST RELATIVE OR PRIE\�
NAME
Year
Interment
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