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Collection: Original Records > Death Records

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

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230) RECORD OF FUNERAL ORE ING, «o's > B46 + ons eceee Weurly Oks. 0 pes ots teak Date. Litas. a a 19 Name of Deceased ae oie eee, ¢ Be Citta asl ay Cuan re a a 2A ue, DY Marzied Cy Single Widowed 1 Divorced (What Race) Residence. .722. Pes gat ie (io eee ee en ror { frets igh yc eee, oli. Charge to: Lieve. ielnn de fr Sot ae Niele soba Le ee ee Address,. 722. C5 Oe OO Complete Funeral.......0.. 02.00 $1 2I. .2 Ya. ‘tox ee Casket.... < "S enveed ie eae vs Cree LIANE Order given by. £26 (AM o.oo eeeeeeeeeeeeeeeee Burial Vault or Box.........000000f eed, (or informant) : (State Kind) How Secured.. . Pee ae BSE ath ely eg aie Embalming Body ... EE nee cama Hl ae oe .Occupation . . , (Sedtiiig ek ag Soe saeco cous Barber, $...... Hair Dressing, $....]].... Gocial Security Numbery . Dressing Body, $..:... Underwear,$.../. ..../. Name of EmpuoyeP ics.. shes acces cee fovnek fac checie oe IL Ree iiredemie gC Seas een (State Kind and Color) PIB eels Gite 9 se ous wh Piles oh 3 ceeeee Slippers, ENTE Ty Sapa ORE Se ones 2 Re a seal ae Date of Death. ; ee ne ge G27 ° . Folding Chairs, $.... Tarpaulin S.A ve i: (D ae a (Hour) . Candelabrum, $.... Candles. go ei eae ‘Date of Birth. . Deke ee ARSE Oe Pas Nee Door Spray, $..... cl: Se See se . eemealpe oe abel ui —_ Funeral Car, $.... Ambulance, $...../. .... s-enpiiea te ae 5 SiS ee (Months) """ "” Ways dD” 7 Limousines to Cemetery... GSi ee eee FES Date of Funeral. Fc 4a ee, Sat w% fZ--.M.) Autos to R. R. Station. ... ee vb ee RG ee nes ps Ae PY Week)” Fs a (Hour) Getting Remains from.........1..-H. oo.. ‘Services at. : wextffee dtr-etact, . Shmfpeek.... Waking Stemaing tone oy.) oats cketa cy.. Clergyman: bane G// Akleas, pe, a Trip to Coroner’s Inquest ..........11.... Ze: DN Vene BORO ko Oss adie ee Ne ' Religion of the Deceased.. COSA a teense Deliver POGOe ta oe es es es Ce Perna CRAIGS. os Med kn ioe nl doe Me hplace . C.2cnwtwnett0e’. ffacer:... oe : id, 2 Procuring Burial Permit. . Phone pier, Mamreey ae Resided in the State. S. or eg Be ok : cnpen Ge, ( angel ‘. __Certif.Copiesof Pee ———_}}.. 2. “Place of Death. the 2a. Leia Balt Pall Bearer Service, $. . Use of Chapel, $. ‘ AteY . Srameieeeaps. ae ‘Cause of Death. la Saas j ae aie Personal Service.... erie ee) ee Contributory eae fea.. Mee Ed eae a mipey Meee d Uda Sie Welws Gos sh ould cues Ben RL a wie Hide Nacpce a pug PM yeas as ucteld Goalie Sete aaa ihidiog® Gross Total for Sales Tax..........$H..22. .& gt Ana 208 TE no os Gage Be ee Centitzing P. nomena” Kz Cacas Ld, Cremation Ber wt dette via aay LA awe gl eT ian ah aly His Address. :(-/ttmAea. (Laeby,. line Death Notices in... Papers oo. Asx ice ete. Name of Father....2.... fa oD z eB Sep as Flowers, $... vans fo i Matting, K Sree aid . West nae pars! cai His Birthplace..... ase B As, (are Rental of Tent, $..of Temporary Vault,$... . .... Le Stet Saree Opening of Grave NR os los Ws os dev oo wae wo se Name of Mother. ia) ee EL, cles bs 4s Lining Grave, $.... Lowering Device,$... .... Outlay for Shipping 2 EE eye . ASA 2am (i Msery Remains ta Lead. = ey. NET OC ie lnc ce Clergyman, §4—7Singers,$. a “Organist, $. 2.. F126 %, x G52 S. C23 or Mond } Tickets, oe plane ne Service,$...]. .... cir wi Size of Casket 73 °°. wee be pa sie amber “+++! Telegr., Phone, Cable or Radio Charges Lrmaad. . .. BIL Manufactured dy: : Cakelomd: Reha Otol Poti aga ES A PCE eine 2 aso yest ng Seis vs Lie wasan bo ox ee Out of town Undertaker’ s Charges. A Stizig calls waetie Souk ik Interment at 71. Gaal Peeves.. { CREE is hbo ee See es ct ES ane Si Lot No.. ...seeeeee eee: vs ew acta gU gr Si te Se He 2062, Grave No........Total F ‘ooting A . Eee eae AG See gpaa geen $ Migeets, bio elhcds n+ Sectide Wo aie eS Tse WN = Ufenhee pan saeinaio ¢ ; eer H a ames : fi pee en NMS ws are Diagram of Lot or Vault Owner. .-.-.-+--5--+.0.02]: Entered into Ledger, page. ... or below. Dong ,