Birth=Mo., Day, Yr.
  MOB:
  DOB:
  YOB:     1874

             Death= Mo., Day, Yr.
  MOD:
  DOD:
  YOD:     1953

  Inscription:

  Location:        New Addition   Block   A            No.:            Lot#:

  Mult. Mont.#:

  # Tiers:     1

  Remarks: