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RECORD OF INTERMENTS
No. cI U AGE Sxtal DATE OF DEATH
NAME PLACE OF BIRTH LATE RESIDENCE -- -- SEX
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Years Months Days Year Nenlh Day
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7
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7
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CAUSE OF DEATH
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DATE OF INTERMENT
Year Month Day
7
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7
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CITY OF CALDWELL, IDAHO
PLACE OF INTERME4T
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NAME OF UNDERTAKER I NEAREST RELATIVE OR FRIEND REMARKS
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