HomeMy WebLinkAbout1936.05.To be Retained by Cemetery Company
No. o/ hermit, ...............~/.............:...:..........................................................................._._...._.~.~
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Name o Deceased.......~~~~:f..~.......~.~yc.k4.~...Jc~~uc.C~_
Dace o/ Issue, ....................._..._...... ..G~J.•...._./...~.y....~ ~c~~_~__
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~:~~iair.Clt.X........~`.../...:,~z:: L...,rrz:br..~ ................................ Local Registrar.