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HomeMy WebLinkAboutCemysmBK#2-pg48007648 RECORD OF INTERMENTS N0' or NAME PLACE OF BIRTH INwrnl bm"(ic iZ 7/� z c 7 117� �,�.- • ��:� �9,6 UAAW :.`ram AGE Social DATE OF DEATH LATE RESIDENCE--- SEX State CAUSE OF DEATH Yearn Months Days Year Month Day o� H3 4( 3 .56' -;.V • JV41 aT.s� ate/ i a I, • ( DATE OF INTERMENT PLACE OF INTERMENT 11 Year Month Day I Section Lot g 3` 3 /2 aly�� 3 / �I �? 17 J- .29 Zit i/93(J IFJ4 -3 a• WL i4a 3 z r tJ- 1 3 zJ� �7 .z ly I I os z � z �•� � FJ y" I� C'',etJ'11��tC( 7'Y 4 0 ad �RRaN'a-ti'�' Cry 77 F 3 .2.3 iIi r r�r .J -C I pis` .2 y - .— : ►te�� 3 ' y '/ 3 I Adz' 7 17 p• CITY OF CALDWELL, IDAHO Permit LOCATION GRAVE FEE NAME OF UNDERTAKER I NEAREST RELATIVE OR FRIEND 7/ Yl 7 jet', C� ✓7 G�� �� .? i � ° Cep /7 6 0 �i i i- Cj- 14 'Yoe � c" Id. E 611Y!•6.3 6y 7-4-! .7 f �► v �.'L's � l % (t e r or e r &CIA ., � "oo2 y Q'401� . REMARKS