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RECORD OF INTERMENTS
No. of NAME PLACE OF BIRTH
� le'erme4
)OL Oka.
�t.
t .3if
3�67
JY70
3
3F7y
don 4-
Ji-
LATE RESIDENCE
AGE SIX State Social DATE OF DEATH
Years- Months f Days ' . - -Year Month DAY CAUSE OF DEATH
�.. _ �N ffY 7 /
I
57
y7 1 1 .27 -/1�7 ✓9yY 6 7
7 Syr 7 / a Nc�
iy+A
7 -7
Yr 7
70 7
y3/9y8��'
i
l 8 J -w %yY /7
CITY OF CALDWELL, IDAHO
—•I DATE OF INTERMENT PLACE OF INTERMENT
---- Permit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND
Year Month Day Seetlon Lot
a _
Yf�Y 7 4 l/ 9 y
c7 yo �' / `� � Y - • �,t/_ S, ?�I e �
v n
U
% 3 'i l0 2 /071/,G7 rp,a2o,-t,�
r /e ��� e 117F eJ44 J- dfo — If
1611 = I_ c
l9 �yC,7�
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