HomeMy WebLinkAboutCemyBK1887to1927pg76-0063Int
RECORD OF IN fL:
Social DATBOPDHeTTt�
State Year Mouth Day CAIMg Op DE&TI
Cfi OP BIRTH
AA�pp
/d��toivtuvt.
aYWt
LATE RESIDENCE?
i I years
i
Months
SI t
Days
I
�
A QI
I
j
I
�s2 O
!I
if
I
I
Gt�L�fN�Y
.
_
1
i�
�
i ,
�
I
I
tC r I
if
Nirle
Section No.
pate
graDsferred to
D::':I CM1o.e
Y:.
Lot No.
NAME OF INTERRED.
Residence
Certificate No. Amt. Paid $
N2m- Residence
Section No. Lot No
Certificate No. Amt. Paid $
Date
it sferred,tp
Cme
No. NAME OF INTERRED
DIAGRAM OF LOT.
Name
Section No. Lot No.
Date
Transferred to
Burial Crarc
IIAME OF INTERRED.
Residence
Certificate No.
Amt. Paid S
DIAGRAM OF LOT.
�i
Name Residence
! �
Section No. Lot No. Certificate No. Amt. Paid S
Date
,t
1
Transferred to
Burial Grate
No. No. NAME OF INTERRED. DIAGRAM OF LOT.
,
4
r