HomeMy WebLinkAboutCemysmBK#2-pg730101No. �. NAME
Ca✓ OC z 2-
2 -3 )1,,t.
31�s-1� Qom'
3,,2- 4 a-JI "
i
323z79%�7rTG
d,2.;6 --�all
• ✓
cl-
J237 a UA L.a
RECORD OF INTERMENTS
PLACE OF BIRTH
Q..i"'
LATE RESIDENCE
AGE___
I __DATE OF DEATH
SEX
Sulal
Stale
Year$
Months
Days
Year
Month
Day
k,IyyaZ13
zz
7 8
juui'y�a
ems!
Z
fir
W.
II eo
j
,Z
�z
i
)1
/o
W4
�Ye
f
/7
����fr
-
`
61
717741
71/-
kl;X'f
�
2 v
^
-w.
r�(o
W.
11aA
�^
�
v-
y�
-
�l
S
.2f
Try
%W e
0# J"
/7
CAUSE OF DEATH
I DATE OF INTERMENT
I
Year Month Day
V4s�a 3 o1J
i/9 �e
3
02 a
.9
27
20
/r
rA
L5
!j/f'7r°
S
of G
�Yxo
—
CITY OF CALDWELL, IDAHO
PLACE OF INTERMENT
— - - - -------------
Section Lot
Permit
LOCATION
GRAVE FEE
NAME OF UNDERTAKER
.3 S—
er7
�os�X�
�
--
/a•a°
A_ 4
4/
J,z
2
,'d • o u
6/
tea'i-�7
/
/� �c�
a .
Ira
/.�'
� —
�`
/ y o u
,
Lq 7
Ji
-Y
Id ..
-2,6
i'J3
to 06
-z 9
0,911
12
60
�C3
I
,
I
NEAREST RELATIVE OR FRIEND REMARKS
73