| STATUS | OK |
| INST | A |
| LOCATION | CHAMPIONS FUNERAL HOME |
| CITY | SHERIDAN |
| STATE | WY |
| COUNTRY | USA |
| SHIP DATE | 30/03/1929 |
| STYLE | SCH 6 |
| WS | 1016 |
244 S. Brooks, Sheridan, Wyoming 82801
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