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91
1;s RECORD OF INTERMENTS
p AGE SEX Sadal DATE OF DEATH
NAME PLACE OF BIRTH LATE RESIDENCE
6t.rrc.t Van Moths Days Slria Year Month pay CAUSE OF DEATH
AT'
� 70 Y7
/ � 9y7 4r 1 7l � �,
44,
.27
C>�J..a.
y I - U Y •` ` I ISM%/; / V ' —t -we • 9�/ �" I � `r /
nI
7/-�r�
7►3.3y5 ,VW €'4'4 �•`-( • o/' o 2 .T t,
Q 78 � � va I9Y� /,�
o fr023' c�
' ��� : d3,U'� �- e�. � i�,l cJ`�.�•. ,� / / o � � z+r y f�J 6 � 7 j 7��
�j 4r "1�✓,��. - :v Tri ,', � s��,a., � � — _- � '}t!' N.Y1 j ril `� ✓U�</� .
Sx; 7 .t 9
- -
DATE OF INTERMENT 11 PLACE OF INTERMENT
'I You
Month
Day
Stttion
Lotdp
-
9y7
G
oz
6'7
7)l
/>
I Yzf.
/7
9s'7
1 �0
/
Cd.:%
'21
yYl
7
.
�/r�—�
q—ry
/9yl
7
>t'y7
7
-t I
Ate%2{
/dam/ -le
CITY OF CALDWELL, IDAHO
Permit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND
U o � i��ir'�•
r
Id
• U c� p`i�u rr
S /b
o�
� f ' � O �c.�t:�k�,k•�.N'ti� �'y�,'�! 1 �!e',tT. ���y/•Ntit/Y.L .
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