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Collection: Original Records > Death Records

Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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> lea tay > “Cause o eeoesecetone Ce a See RECORD OF FUNERAL Cr a ee eeereseee ee ee ee eT Ce Address. . Woke */, Begg, M7 A Yekheg Sel: Complete Funeral =. a Order eiven by... Casket..9. Jataneat.w.. oo ACR ee DO Si a . rl eae Burial Vault or Box (Name of Embalmer) ee Occupation......: Seat etme nl el ouek, Met yOu aera: Barber, $...... Hair Dressing, $....]}.. Date of Death. "Date of Birth. . 1 * Age..... og x hep 7 f Death. a ay Oe ee ee S uit or Dress i ? Bie Whar nieinm sugiaiace) ep l see isVale » fa cen We diene Wes Slippers, $....... Hose, $. Gocjal Security Number). . Dressing Body, $..)... Underwear,$... ie me RL AGIM,.. Als Gorn, . Folding Chairs, $... Tarpaulin, $..... oe) A + Gr te ie ae Pole Sn Ad sche oe Door Spray, $.....Gloves, $......}].. (Date) (Hour) . Candelabrum, $.... Candles, ? ys Funeral Car, $.... Ambulance, $./.27%.. . .. ee (Days) Limousines to Cemetery...@$...... Date of Funeral, Query. 2.5". Aruodng. 8 bem, Autos to R. R. Station.... ee ae ge (Date) (Day of Week) (Hour) Getting Remains from..... . Taking Remains to.... secats oe Trip to Coroner’s Inquest .... Delivering Box to i ay Removal Charges........ Procuring Burial Permit Fete oe 0 0 oe 0 tM 8 eV UN ee te te ec ec eee ees o 06 6 $0 Gere Ps 0660 048 CO his Oe 60 8 Oe be 8 Personal Service eo re rs or eee Tee eee ee ee 8 0 © 6 Fe 8 ome 0 RIS 9) MINT RS 0 ce wre) 6.8 © <6) .0 © 0 616 @: Bele . & 6 e\s.8 © S10 8) 9 D2 ee) 6 . e 1 eee «6 06. & 0 40 \0 @ 6 on 6. ee ee ae Gross Total for Sales Tax Outlay for Lot Pec esesevreseees Cremati on tee eee ne Ce ee rd Ce ee raed $ O75 01G0 0 0:6 © 0.6 0 6 6 oe 8 6 6-8 Tae ce be VAL een Flowers, $... Palms, Opening of Grave or Tomb Lining Grave, $ Outlay for Shipping Charges. a ay Cash Advanced 0:6 [a 6: & (0) 9-0 6 eb 06 Oe, 0 Sor aah SONG SEE WG ow etie: « « ‘ete ola wo 60 lo Bee ee SS Ore eee a ew! Ole ere ok hele Bleue BIS A SN ot See ee Te or Fe SSS SACO WS 0 And 4:5 4 bce ae 4 . 3 (State Number and District) r City or County) (Years) ~¢Months) —Certif. Copiesof Death CertificatesNo. (State Physician’s or Coroner's . Cees « ++! Pall Bearer Service, $.. Use of Chapel, $ Ce ee Sipiiioetens Matting, $... Rental of Tent, $..of Temporary Vault,$.. scree Lowering Device, $... Clergyman, $ Rett Singers,$.. .Organist,$ Ratroad . r ckets, es . om Service,$... Telegr., Phone, Cable or Radio Charges ee Tee ee cee eens i Ce a rs Ce ry See ee www ewes ey ee er see eee ee see ee