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RECORD OF INTERMENTS
NAME PIACE OF BlRifl
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AGE Social DATE OF DEATH:CAUSE
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LATE RESIDENCE SEX State
Years Months Days Year Month Day Of DEATH
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mad. !�G 7 /a 0 2
44
7.)'- 7 w. ( 11
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77 ,21-',7 -w
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CITY OF CALDWELL, IDAHO
DATE OF INTERMENT N PUCE OF INTERMENT
---------- -- Permit LOCATION GRAVE FEE NAME OF UNDEgTANER : NEAREST RELATIVE OR iRIEN0
Monl Year Month Dey SMlnn lot
MYF 7
/13 I 0'�-7 .zg OIV 38 -- / d / , r �� i
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<)ar I'd ,oil at ex�e
It /66
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19y9 r r /8 S 6di'4" - C
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REMARKS
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