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HomeMy WebLinkAboutCemysmBK#2-pg840113RECORD OF INTERMENTS xo. d Ixlarn•c+t I NAME PUCE Of BIRIIi LATE RESIDENCE 3 yt �3,�,„ • �rn,� �' JYN tom. ' y7, �yVa.. 79,E . MAW f bo tvk I , �_- ock . AGE SIX Sodal State Yearn MenlAa Days •� 3 % 9 72 2y m �✓ �7 `i3 76 z .zrc �• s•a �w zv. 1/ /7 7-3 a a7 w 'f, /Y w Iv � DATE OF DEATH CAUSE OF DEATH You � Manlh Day y�yl �. • i • ry�Z 7,,,,;� lfyZ z /1 /9yz�' ,s 7 DATE OF INTERMENT Year Month Day /9y� 1 • � 7 J7 yy � 7 per- 2 / 9f�2 .z �9y2 pyy � z,s y.�L / f' 2r Yfry 3 Y PUCE OF INTERMENT Section Lot /J_ i s7 y /a/ w to e ,63 J"7 43 1 CITY OF CALDWELL, IDAHO Parmit LOCATION GRAVE FEE 6 R. NAME OF UNDERTAKER NEAREST RELATIVE OR FRIEND REMARnS / Q .02 r� . Id p a /o = d6 0 r, E� L ' f, �•S LQ �Q �— 7j m