HomeMy WebLinkAbout1953.01.To be Retained by Cemetery Company
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No. of Permit, -~..D ............._. Date of Death, `...L..:.:5./:~....3
Place of Deathe~'-~?. ~~.C...~..:.~«-xc.~.:..~/-G-~.:. ~.. - ...
Cause of Death . ............................. r~c.G..---- -...---=f.~,-r..c-r
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Date ofj Issue, ........~. l/y~~a3 ...................................
..~...~.._y.~...~:/.~--''.~Z--. Local Registrar.