HomeMy WebLinkAboutCemysmBK#2-pg900119RECORD OF INTERMENTS
CITY OF CALDWELL, IDAHO
--- --- - -----------
AGE Social DATE OF DEATH __--- -- ------- —__ _
NAME PEACE OF BIRTH LATE RESIDENCE SEX StateI CAUSE OF DEATH
Icleri..-1 Years Months Dap Year Meelh Day
• � 3� 9,� �� • W"` � 4�Cl. a p/ �`wy"" - J 0 6 6 � � 7 (y l � ,/ ��l/n'" (�,j/EGt�
am . .�� -� / yyz
r� % /9 ,
€ r.
�- � 3 � o `" �--, ' /��,a / o� �,�i• 6 3
r
l�2 / I z9
'341off'
n°rF�°cao 1✓ 0�4�'' �d� , 17 - 7� it/ '%99Z 9 ?z I,a-lQ►�i�c�►u►
90
�,.LJa„ J'3 .2 /f / 9y2 /! f
.3b of ,� �u • `7 I hl o
iQ /a-17 7v I 'yz /1 .2P �
so
a � 7i9 3 6 fit � • � / 9yt /� Y j,�,�,,.�.i�Pl ` 4✓o-�
� Y/J,yF,�' �� eq��.. /2 /I s- � �✓. lQy� l � /�- I �-�"� r
d-o(At • '
�• 6 y 7 zo � �„ z i'
I� DATE OF INTERMENT PLACE OF INTERMENT
-- Permit LOCATION GRAVE FEE
Year Month Day Sccliaa Lot
✓p�'Z
�,
/ o
� y
Y`l2.
l l
d`7
�-7
FV2.
/
.2/
�3
/z
//
.2Pi
6
yz
y
,z 16
4-y
/f%/Z 6
,27
y.2
If`
//
.:73
9
f Sys
/ 7
t3 o it
�'9
1
9y2
rz
y
l 9y2
i2
Js j
6-7
(9 �Z
l 7-
/ 7
171
3
/ 1
F?
6''7
7/'
2,
/d
03
/7,7
6
/o
`a
?J3,�,
l 7
/ d
V z'
�2(
l 7 /
)D,
/ 79
/d
o�
8�
IY
/d
�.
�Xfs
3�
'5%4
!/P6
eC
^93
/ �,�
�'
/ a
�.
07e1 %% It00
�l/9l
7
/u
7
/yz
2
/u
6 7�/9�-z
�a
='
NAME OF UNDERTAKER
r I ,
rr
Ir
NEAREST RELATIVE OR FRIEND
- rW'uo . ;V1 �c
24 .
611 ,4,a,Zf4�i� .
7&uro
7�LLo . 'go ca aCit
REMARKS
41