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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
cae RECORD OF FUNERAL
Tots Moc fa Me Pied ee ye eran pate.. Hoag. Af.. LUG 19.
Name of Deceased.. 4 : . Coraanoczenath. fi bangdaraaen re ee ee hee ZY SS ee
i ( Widowed D Divorced
(What Race)
Residence. 4. ¢.4. epee eR Peace arene aetna Geriteyir Septet thei eat UR Way on
or eet PO eee rite of
Charge to: vm Auiwae Hk oe
fe Gene" ehee aa eee Seem ALE. ‘Addvems, CODE, Py, SS ee Je a Complete Funeral... $. ALE N\A
Cree ee eee es il Meiers leo aca gkaite 16, Uh open SALE apie cs NB
Order given by.. _ Ladaarrad. 2 Zid adnan.. Burial Vesit or Box ....-ee ee 12\ 8:
ori orman
(State Kin
How Secured.:... Vif: seetans tt len Ta ct Glas Embalming Body ... Bee HEPA ge ae rs
: Occupation oe hy Bratteratcek Pas, Rul Or sal Saahae 1 cereale oly Barber, $ oreo leis) pile oyete Hair Dressing, $ err ar) . Cera ear i ee
(Sogl ty Number) . Dressing Body, $.....Underwear, $.... ]. ES eee Ne
Name of ere oe deck. i seseeeets Suit ae hit 3 Sa ey aie Leis 5
*** *** "(State Kind and Color)
Address . . 2 ATAU 00 neces eee renee eens Skippers, $......-Phases . G lar ros as She he ae ees aid
Date of Death. . a =a eae mt a ge LELA, Folding Chairs, $.... Tarnatlin, $..< .2Pes seek e
a Date) (Hour) . Candelabrum, $.... Candles! Sitac.-s. = NaetacDate of Birth. . hedge. SEE I LM Pe ah hona aN Door Spray, $.:...Coven: Bis os cra = a oe
SF? ZL Funeral Car, $ /* 2. .Ambulance, $3.4. [= ee AL.. 22
Tet etree eines” A ee ge OC Limousines to Cemetery Gee. @ $.¢.2@.... . ... 2/2
Date of Funeral. Lo ie Dprancr ee res m. Autos to R. R. Station. ... Gy Sits en hs psa oo ot ih
ee ot are (opt) Getting Remains from. .....-..seeee ee fence ees ie
Services at Bite e eee Taking Remains to..... Pe Rot ioe a oes He
Clergyman: whee oO 4. ne Gee oe Trip to Coroner’s Inquest ....-2+e sere ee effee eee ee ae
Sf cteadxntl. Deiveniig Bok tO. i eee Se hee eng ete be oo a
Religion of the Deceased.. ALA Ab-€t-Oradt:..-+++Deliver Flowers to. ....ccceceecceveceeceleasceeedee
Birthol. 2a\KKue Lee rey ty a, are sean, Reeeravnk Ci area ic Ga 8 seine Sips B's ee de a
“one ym Procuring Burial Permit... es yaa estas +3 st
Resided inthe State.. 222-60. c2z3** gis ". _Certif.Copiesof Death CertificatesNo__]]....
(State Physician’s or Coroner's )
Place of Death. ee.. Phere vescevocccvees Pall Bearer Service, $.. Use of Chapel, $...]].... ss
A . ; . (4) Ca aye of Death Os Acad avvth.. Personal Service... settteneeee senses ae ee An:
B: n: Bechara Fa ecssedlh bse ae is Paha "ahallnn ss 2) ace) sO wim ctita inwisla,seooo, ersie’ ¢ =gucnntanels ro) eke eae MS 0 aS
. geno: Saab a Gross Total for Re TEs Ss ns whee tee . Se AF
COVES ib Tok dhl Ws Uk ip as Ae Ue ie UN AL Shoal . eerie Bs
sant ae. ath, 3 Cs 2g. . oedtion i ER Sop artic Nc iaied es UCAS rin, Xr
His Address 23069 AZaetta = Gh ineg ie. ..line Death Notices in... Papers .... ]...-x
a ata antec Soe es (ae
Name of Father. leds AE. Flowers, $... ; Palms, $ Ag Pe Matting, : sean . e eee MS
His Birthplace. . CFAGLE , Rental of Tent, $..of Temporary Vault,$... . ...-ie
ms. 2 y Opening of Grave or Tomb........4-. 1. JENS
Maiden Name of Mother ON FL S-OE Uhatak : tata Cyan eS 0. Lowering Device, $F22-1..-. sic
Her Birthplace. .. KA2Gc@44% WEE) aie ls o-0lb-u oe Outlay for Shipping. CHANGES cia cas 00a taeaes + so if
ae Clergyman, $2. =Singers,$..Organist,$.2.£2. . ... Z.\<
x XS") neni G of sae 1 aaa ae chek cB Ge SA ant Sir ae Cate, } Tickets, , Se Aare oe AsroService,$... ]-.-.-+o
ize Ol Uaske eadea ih. : ea, ae ela oy Telegr., Phone, Cable or Radio Charges eis Old HR :
Manufactured by. : snes oe oe Peck Le -, . Cash Advanced «5.. snc'. oo cic e ee ce cee e couple eeeees ;
ery) Out of town Undertaker’s Ch rr. Sree pues eee ener
Interment at. pes aaa lee eho ee = Saag eae sone ae BSE
PCR Oc icots eo Rina ele eu te ee cet
Grave No.. 2s. seelivenss: ‘Total Footing of Bilis 0s cas cake ence tae. $ LL. ot
‘ : ee YEE Meeps ere ee ope cas SH cca
Section No...... mr Shas tar . agen 9
a
Co ee ee ae . ce Lie
Ge. se I Sc eaind Owner. ..----+--...++.] Entered into Ledger, page.:.. orbelow. . . 4 VI
. aa rome Vaan . Tata” . <i . Avacaent baht Rol