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Form E. F . Issued by the - CEMETERY RETURNS. (soGBSWies &0 Smuar besaser. § Sg;,& Jx\[lINI(-,‘ll'BII;:\’I:;IAvi\“;)ogl);;:::‘\:".:'\' whica | Nast or Pm]{):;:;‘tml‘?‘::l:xx(: Brxrar BPe 6 Basu. 2 s ‘Ke @o‘rnfi%y tUiederia Jf'Offuâ€"rv( /g‘/;r«%f-/ml _ z /fag. /5; % | § gom mt bAishou P Te reasfon, %Z%ZW //KZLA¢/£,; h t2", Igeg xzii d fryec t COHtcicon , Cant b tm T z= Resp 18 & 2| AAzccfe _E ea A %&Wfiflfifi%fi / . Alrmexedcs l zs ; /707 bosee 2 * 4 «7 / ; |RtzmR $ 4? M W{ o efpeos _A ) Farrtes dept 4, 70q _ > ; 4 Arm M&/&:fmlw)m Je WMshu. 7 _ i2 drmatlon [L/ng Lt3 14944f e g= l # . s Patzsck Peughtr M _Rarprae, _ â€"â€" /./r CPra Reods â€" We BS ay 6 7 8 9 10 64 12 Y ~ c % 2 ; 7 2 Fa / a tz.ek J fi/a,a\, /P/flemmm// £/: (or person in charge) P 3 Cemetery, in Al flq’/Z;TL Municipality, Z4 7{"‘1 * County, hereby certify the foregoing to éc‘}%z‘ouz/)!fite list of the persons buried therein for the half year ending D) ez \y A.P. 19(77. P 3 & > %z"fl&”‘ P.0. Addsess. §E ?"’*"“ C + Caretaker. Nore.â€"â€"This Return is required to be made by Caretaker or other person in charge of Cemeteries/ under Section 25, Act Ȣ Births, Ma viages and Deaths (Cap. 44, R. 8. 0. 1897). ) 6