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RECORD OF INTERMENTS
AGE SIX Social
DATE OF DEATH �I
LATE RESIDENCE
No. of NAME PUCE OF BIRTH -�—. Years _Months Days State Year Month -Day II CAUSE OF DEATH
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CITY OF CALDWELL, IDAHO
DATE OF INTERMENT ly PUCE OF INTERMENT
j Permit LOCATION GRAVE FEE NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND REMARKS
11 Yost Month Day Section Lot I+,
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