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HomeMy WebLinkAboutCemysmBK#2-pg1170146117 RECORD OF INTERMENTS '----�' AGE SIX Social DATE OF DEATH No. of NAME PLACE OF BIRTH LATE RESIDENCE State latern•eat V, y� �/ qi �VYT,A,YLp �,�,.►n.ao Q ,� �,�L:o �-�°`. Y/97 i oQxl' c L r I ice` yg for I/y \ I510,1.% ti , l.� %ice^'`✓ I \ .�cN.. , . -- -i' Years= . _ Months --�Day— — - Yearz —Month — Day 7l 6 /9' -w �9Y< s' .2 9 -1.2 y /r ova 2 9 7/ / /7 -,;"7w iy9yr � M S 29 7� x7 � �/ iI f0' s' 3° CAUSE OF DEATH 7 761 , o 7,4 ' ?yowl r i` 7 -�n w /9Y•4, T '21 7� 71 7hT 7 it 9 211 i� DATE OF INTERMENT PLACE OF INTERMENT Year Month Day I Srctlon Lot t MvI /f .2�jk I/9f<< yyy a rye f Y (z''? CITY OF CALDWELL, IDAHO LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND REMARKS 17 G% Sw ` 11.'7