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Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)
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Page: of 324
by
Total No. /, 4.2. es ee ecuwe Yearly pre Sake care Date, 74-4. -[e AR ea Sey
Name of Deceased. // Fonts Mase ME Ler27rw cts a Oe eh gay cig eG wae Mie ies Wie aged ee A
A 0 Married DO Single [A Widowed 0 Divorced (What Race)
Residence: <VA-G4G. oa TAL ace g swe cage pes ee Bete Cotisebana Jw Imison } here nay. meat :
iat inn OS eee ee
‘aanees: SS. Le, yy Waster i ye, 1a ea Complete Funeral. ..-.-----nM
: Casket.. 7%. BATU. cee cece nes Ad
Order given by....horn eect eee eeeeeeeeeeeees Burial Vault oBem...22seeeeeeeeeeee te £2
(or informant) : (State Kind)
How Secured.:..-. Pham A gee rere Embalming Body ... Re an, Nees
= Occupation.....++5+: ee ATO Peer ee ee Barber, $..--.-++Hair Dressing, $...--hier
: (Social Security Number) . Dressing Body,$...---Underwear,$...Beet
‘4 Name of Employer...-.Pr ae gba chi nieteek dace 1 inane Dt Ay ROE i te ciate ae oss a
oS PITA dal Re ** tate Kind and Color) :
: oe RACKS ¢ aca de eee cee ences sinstnecces tues’ Paras wee Slippers, $..----+++: Pome, Glass Leis ote itp
< Date of Death, 7 PR ABE LP. . Fas Cais, H+ *: Tarpaulin, $...--he
ais < (Date) i :" “Gaour) . Candelabrum, $.... Candles, $...+-++re
“=. Date of Birth. . 4 PEGA Bes / 69 er a Door Spray, $.:--++++: Gloves, 9: 6.-.-0.4 ates
ib Age 5.4 rd a 2. Funeral Car, $.:.---+ Ambulance, $...--a i
— Can Sa agouti ean te Limousines to Cemetery..@ Ghose bean aol
: Date of Funer thy 6.. rvtates.. Fx ee rie m. Autos to R. R. Station. ..-"1p RS a aie
D (Day of Weg iiiont) Getting Remains from...---++++++esr0t: ee
Services at.::9.fs A a Taking Remains to. ...--+++seeeeerrrttr es eile
Cteruyman TGALAT Ber i eae ee an nee ‘Trip to Coroner’s Inquest ..-----+++++r0000 8
= _ (Address) Delivering Box to..--.-eeseeeeecerterrets Ae.
Religion of the Deceased.. Cadhotiee..-serrererrees eM ete 8 si, fos Foc ad eae Te
Birthplace ..<WJ KARA. Uaies 515 ec: fo eta Removal Charges.. . .sila 'e nin bie sks Holes i
be ee Procuring Burial Permit. gions ite ar
: Resided in the State. . ee ett tes Canaan . ___Certif. Copiesof Death CertificatesNo = ar
~ Place of Death fam.. een eae ed: Mosfraltpal Bearer Service, $.. Use of Chapel, $... . ..
Cause of Death .< ig PT euaionen: Seb cig tae Personal Service. ...---eeeeeereeeer cesses ae
9, SUSI ARE valp Wee l CTeOPeret eee Y. e ana a mameeoerigg 2 fe ie
a aes Se ding duet oweep ame tiers fe cities Gross Total for Sales Tax...----+++++0++: $. . -es — Outlay for Lot. ....-.-0ee eee e cree e eens aks
i asa, Mer Merle. 200.. Game a :
Se diaen Ae Satis ee ee _. line Death Notices in...Papers .... a
Be ies. hae ee aes ‘
Rite ae Flowers, $... Palms, $... Matting, $... bes
His Birthplace...-NLOMM ees Rental of Tent, $..of Temporary Vault,$.-. }-Maiden Name of MotherCoed rn. . A Snir: of Grave or Tomb.... peas Ores
rae a 9 ning Grave, $... Lowering Device, $..ie
er. Birthplace. Al Ae eee ee ‘Outlay for Shipping Charges. ....----++++> a
eM ae : Clergyman,$... Singers,$..Organist,$... fe
~ ¢ Remains to..-.----Sapien digs ann aueneis Railroad . : ‘
; ay i kot ; : G. . \ -. or iroad rickets, Rar pera Service,$... oe
saat. i. Detain ph eae verge tiple : Telegr., Phone, Cable or Radio Charges.... =
Manufa by. ge Bi Al Se BSAA vals oad 8-8 Cash Advanced. .....00eseeeeeeeeer ees +
EOLA TAO: (aan Se { <aaerst Out ofsingn Gadertaker's acc ag eck :
eee es UA ici tay ee
. Total Footing of Bill. ...55 255-0 ceseee es Sic
em Re Pe ia on Lk a ae naan ee $i.
oo ene Balance......-. $
-Entered into Ledger, page... or below.
. Tata . . . Amount Paid