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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
Total No. PA U pena t eeees Yearly No...-----+0°*
Name of Deceased Nacho. LOA os: Anger ae
: ‘ Married D Single (0 Widowed
Residence. ..S44 hand, ee eRe ealfrare odin eueraiecen Pn CoetuebanajwiteL widow } oR TRA Li nls eeatatne ants
. . (GEo avails iswenan eye of
Charge tol Atws. . Chemerreck. Mabe RL Toe
nadrese, St Mpstess Lo DALE vere i Puneral i dao
Sel epee Rae ae mah
Order given by..-. hewn cg cate ee were as shams Burial Vaulb or Box .s.cceecease ee r.
(or informant) ° ; (State Kind)
Tie Relueal Tutor ee eee ne Embalming Body ..------s-c sy =
. (Name of Embalmer)
-Oceupation..---++++> a an Barber, $..--++++++° Hair Dressing, $..-----l]---*" °° =
Cac Ssacist Security Number) . Dressing Body, $.-----+*Underwear, $..---l]-----+° ars
Name of Employer..-----argues eT mma NE ARS LO Suit or Dress..---+sc teied ask oak Weal: Src
eS State Kind an‘ jor
Address Br ahase acer e sore -aie 0. Sua) mimgge eR mye Jatin ste poorer Slippers, $ DUT iaes suevkes sve ene Hose, $ b cuslelsiatat.6-+e Nore la ihisrs sik ae
Pkt ob RIM con sew edigunes cero + 81 ETN eee Folding Chairs, $..--Tarpaulin, $.----++-Jorr*. 27, (Date) (Hour) . Candelabrum, $..---Candles, $..---0++efeorcet? a
Date of Bipthy “ete Ay, 2% Hoy YI MEE, caver es Door Spray, $.:-++++: Gloves, $..-eeeeeeefrcees:
Age te : Pe br Funeral Car, $.;.-+++-Ambulance, $..-r= seats e+ Be ,
7a wlegieet Poibidebadan ae a hs ". Limousines to Gemetery.--@$..-++: Rees soe :
Date of Funeral.. (V0 saci Gow) m. Autos to R. R. Station. .---CN en .
. (Det) (Day of Week) (Hour) Getting Remains from..--.---petra ce) oaks ,
Services » A TOSS MRT ae E ec odigh ccd ior Car a Taking Remains Be gs algae w Rie ee eR ee .
Clergyman::.++++++9°° set ages nek eee mee ae Trip to Coroner’s Inquest ..-+--+ seers ;
(Address) Delivering Box to..---+-++++77"" Pecan geste coe ene
Religion of the Deceased..-ee adie 44 RY ER SS ORES Deliver Flowers t0...sceeerereeseereree sere + ok
Birthplace ..-+-++e0000+ eer i tae esa . Removal Charges. ..ee ge vee del aa
Gasided in theo Biut it Procuring Burial Permit. oh as Sea hea at
um an
anced Ste eee Gps Gly eGoittiy * “Geadny’ (testis) . —Certif.Copiesof Death CertificatesNo-———--+
( ) O ri ysician’s or Coroner's
sees es an a Pall Bearer Service, $.. Use of Chapel, $. ---pie tae
.
.
Po capes Saye sree
aa
Certifying Physician. ML Lady. 7A).. Sie ingle ee
Lata
-+. Cremation..
.-secrscerstr
aes
His Address: :.25s+-eere
ete pAHUT eva ceieneenees .. line Death Notices in. .--Papers .--+--Jreo7°"*
pie
EF
NOS op alata iy ESE AIR
ay rai en Sam
Name of Father..------>
ee ee oe ea la md oa Hg OE ome Flower, $.:. Palme s peer) rotting, Ee oy
His Birthplace..------SE EET tl ee hae ae Rental of Tent, $. . .of Temporary Vault, $..-. )e.-++>
:
Ten
Opening of Grave or . ono
5 enka
Maiden Name of Mother...--serserrrrrrseseee
Lining Grave, $.----Lowering Device, $.:---f-bey
.
Her Birthplace..-----+ee 5 acdc see's iar ie an Pt Outlay for Shipping Charges. ..seeeeeeceeeeperre
.
ee
.
.Clergyman,$.--Singers,$. . Organist,$..-l}--++°:
.
Motor Babies 1 o.0.< shee ee ee dk news need : 2
?
i
. nied }
py ro Tickets, $..>) pe Service,$..--. ]-+++:
. Size of Casket..-----** iSeate hes ron aad ar Telegr., Phone, Cable or Radio Charges..---+-. J-**
7"
“pinata
= 5 <i ng cage non ange
han Sa ee 8 mre 7 ane A ioe Ns ee
ce a
ut of town Undertaker’s
Charges.-----+++++-W"""""
vptbemnent ut TONAL ce nen as S7HRE Pm odods eshan ns tts arc ea, GAS
Lat Nowe seeseeereeeeee. ees 0, SR RTE
Grave No edhe Ude eee seee® Total Footing of Bill...-+-+++>
cee ee ae $ Pee aay
LOSS.. cece ee er ee eee Pe ee ee . ae
Section No...++-+-oa
me
—
1 ere
CBicaecnecssv ese $
Diagram of Lot or Vault Owner. .----e2eeeerrtt
Entered into Ledger, page..--or below.
aes (oY cae .
ge canes hoo 2. J tae ee as teat a ait