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Collection: Original Records > Death Records

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

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RECORD OF FUNEKAL Residence. . oe es Date. Ble eral ole Le POEs eC ESP het ee sece ens et a eakds Sk EEAA ee ED, Pactonee ibb doll Pareiticeyerreet S28, 2 eee: SMS OS ee Oe of Charge to. ak fe Address. , Sn iA’. fgtene Mbvaad ener = Order given by... Bad oced Hd Secured... A fuexk a hana cil ie ou teats (Social Security Number) Bie lee O26 0.65 2 OS ROSS Bee & Be Se) BLO ee ELS Elec b Se M.S ORES, F Occupation Name of Employer : SA iivege, ci ttadet gg be aertes tans et Veen tame ee +: + ~Date of Death.. ED BARE.. CIF (Hour) Ug) a iehkib sib wi. tine reel Whore! ,6 Ores @ yer ea ene rire es Pee te ieee Frit at Fe “Date of Funeral WZ. a (cl fg am 4, Services at. De cgont te EF Clergyman. Uke: a Religion of the Deceased. . tis ease Birthplace ../& Resided i in the State.....722EL:.--et or U,S. or City, County) Place of Death. Jie leck rT (Address) eee ereeeseeoeseees re weeeeereere Pee Pe a bsFolding Chairs, $ ‘. Getting Remains from Haryaarlle Pe ei SS Se = Casket.. % +. DeAarter Burial Vault or Box ..-----sreccssee ttt Embalming Body Dgget: eae NN (Name of Embalmer) Hair Dressing, $...-ce Sai eae Underwear, $...Suit or DresS... cece eee eects eet (State Kind and Color) Hose, $ Tarpaulin, $....Candles, $ aa Ee ee ae Te ldaee siren] . (el aa Slippers, $ cc we oe HAR PAUIil, De eee eres ciieecer® Candelabrum, $ Door Spray, $ Funeral Car, $ Limousines to Cemetery @ $ Autos to R. R. Station. ... @$
Sew eho oc Ce NONE Mey MP Rees ay ee ge oe SRS, Sym ee See re ee ee . ons eo Taking Remains to Trip to Coroner’s Inquest Delivering Box to Deliver Flowers to Removal Charges Procuring Burial Permit...-..--.--:-++: tate Number and District) ___Certif.Copiesof Death CertificatesNo. ae (State Physician’s or Coroner's, . Use of Chapel, $ ML, wie "SiS loie ehaysls-e ele ee. ois me oe em) t Gos Die -a (eRe tetera SS tae 6: Sue) ©7918, (es. e hs o eee ee pe s.0 5 9 W © elle e ANS 2) 8) exe Bes. alalece 6. ¥epeje #0 ce lee a) si) len-enigve fe (ele/(s Ese) 6:6 8: se salted Ore WTO LONe 8) 60 e050 2B) s fae, Ee: 0°68)» eg Se eLele eretes fC &.0 V S8956 1G. 0 Pi SE P< Pall Bearer Service, $. . Personal Service EL WEdes gata e congo ie OHal, Se pane rare O16 56 5G! 9h, OP SNE e) STeneT eS. Foe. gid be Raa Parte OR LOW We Se & Rie scene RORY ee See ee Ne AN A RT Gross Total for Sales Tax Outlay for Lot ..line Dea Siete Sr aHe SOS Oo a eUvEe, Ws STORES ©) 96 9 fete: gai iep ecm e inte Ee DA eee ole) mcle 6, FBP: 2 Ba% fe bsee egg Sen E RL DER TOM 16 SS wE Re we Ole kag Wree Fei soer cl ae ames of News Flowers, $ Gigotii on Matting, $ Rental of Tent, $..of Temporary Vault,$.. Opening of Grave or Tomb Lining Grave, $ Lowering Device, $ a Outlay for Shipping Chareee scale sons Coa es Sa ses . Clergyman, $4.5. =? Singers,$.. .Organist,$ t eof conte eit Color and a 4 Lf 7) cr — Railroad or iiroad } Tickets, $ AcroService,$ Telegr., Phone, aw or Radio Charges Cash Advanced: . ee ee a a Sik po lee © Side e o) eee! ©, 670, he 6+ 6) 0,6 (6 0) Ole (0:0 6, 0 6 WS e Spe es re ee ee ee ee cee ese eee ee eee eres wee meee eee ee eee eet sewer eseseeeeseeere ee eT eee eee . Amannt DaiA . Balan f . v Date iz *: