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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

, ra f . Gomplete Funeral.. 2.22.0.. cece eee ee BH 4.7.7 . 6°
Address.. Hasndvent.dawer.> teeter. . ll . : 290
i f Casket... WM DATING Coc cee eee lL 7.0 . .
Order given by... A711.. ttre tee eta ee ee eeeeee Burial Vault or Box .....0:0eeeeeeeeeeeiice cee.
(or informant) . (State Kind)
How Secured. :.. Phone, Capit ea kd aoe aia le tees ste Snneling Baty ose oo. a. ieee Witenes ow es
‘
(Name of Embalmer)
Occupation.... PURE 5 seein epee ig oe Barbet, $.ij00)5'ace Hair Dressing, $....]]....[..
(Social Security Number) . Dressing Body,$..... Underwear,$.... . ..../..
Name of Employer.. .. 270 eee eee eee eee eee ee eT ee ere: AL ree Coe
cea gaapias
(State Kind and Color)
Tg 5 wsioln os Fann nee, = wd 3 seu eine eve4 ak OK Decree Devers, ok Slippers, $....... Gnd; © os cae Ee ae
Date of Death Yaouy. 2.8" J ZY/... F350 Folding Chairs, $.... Tarpaulin, $.....])..../..
(Date) (Hour) Candelabrum, $.... KSaMGORS Sie! os ae iS bicee Hew nts Se be
Date of Birth. forty. 2.82.. J.5.7.6 eeuelea cea hig es sos Door Spray, $..... Gloves; $n. 6 coe ele wos eben
Es. i den pie eee Funeral Car, §,....Ambulanes, $0200 00000). 0.002)
(Years) (Months) (Days) Limousines to,Cemetery ... Dida irc ba. Bes ee:
Date of Funeral fen, Bd. Sardeg occ cece: 2. m. Autos to R. R,Station.... eee! . pee
Day (Day ef Week) Cour) Getting Rema from.........0.-0-f oc.
Services at: Menge VAL OA, Mertsary, 4 Taking Remaiits*to. . 2.0.. cece eee eee eee cece eee fees
Clergyman: ore. : OV) ade uf F, ealbe tee i dal ie Trip to Coroner’s Inquest ........2---]]..0./..
(Address) t Delivering Bow to. 6.05.. cesasecdocsccesesHecccseubes
Religion of the Deceased.... cane 2 coat y, nyeke ‘all eveghl beckett Deliver Flowets . Es. illest ‘crs: snoop lore ly ee ee ee
Birthplace ....Corghema cc. ccecccceeeebeeece. oie inn Gee ee ree
32 Procuring Buri: Permit. os eo si pied BA ol Uiaean We 8 ae
7 i bas ‘um ani ict}
Sonn TONG ER cat a Kae ices . Outi Content Death CertificatesNNo———_]....)..
Place of Death. Events. ty, .Cemnty, WS oeptek-.. Pall Bearer Service,$.. Use of Chapel, $...[. ....[-Cause of Death : Morty AML : “ies Ses Personal Service Se SEER? OS tee a a?
Contributory Causes. intharksa. aa oleens ES PP ee See vr eer eee saBneten ctewem gals) asus «dew bueShe +)
ee Wnts 4 Abra cistishesseeaaivdgewege sseetydvcions :] Ona Rotel for Sales Tax.. ie¢.0sceecsapsHle.. PAP S
/2 5S ate OP Liki dic csv ceensan sn cawe ses wuew Hew detecbvalt
Certifying Physician LU-L(tr, My sof cee, a 9 iv ee Cremation ok Soles we Bate aieicls « sal Vemaihel ls co cits oe sues
His Address. : (Zu aee..C eo ie. ++ line Death Notices in...Papere...2.J+.1+.-[..
mere, ow tga hi tedteeay ttle cups
Name of Father, #7~n. . AG TY.. ervelgacen Tug Pike ath Bba tiie at Flowers, $ J 16 S ms, 5 ree Matting, g. he S18
His Birthplace..... “Agfa? >. pt et teense eee Rental of Tent, $..of Temporary Vault,$... ]....
. Opening of Grave or Tomb.........}}...-).0.
Maiden Name of Mother: “caer Oe 2 tM f eget) ane Lining Grave, $.-.. Lowering Device, $... . ....J..
Her Birthplace..... One hood >. SBR; $2 2h s pw sigs Outlay for Shipping Charges. ... ere eek, hare Ee
BG} Remains tooo oes seaeaaaae Se ns. iene Pe ee
d 26 or Motor PIs wipe sps'e « plane Caen . oii Gries
Size of Casket 4022.4 Peters, 2 ane ME.. Telegr., Phone, Cable or Radio Charges..... . ...-. .
Manufactured by. : olen’ te ee A . i. Aa Cash Advanced........ iPrcepaes ay te ace ILL gare aa
Out of town Undertaker’s Charges....... )....[.-.
Interment at. Con . 7 Cokes ie . a on eee ee See) a: Prd: ea heb Ae gc
LANs seeeetepeset . Bilal ihel eee nREE
Give Ne.. aloes Total Footing of Bill.. ......000000. $2.7. 7.5.
es oaks ieara is eHia'g Sige sie & 4 Mime wie eitie Os. k Mele ed oo Bee
Dp Section Noi cs. oheccade e $
one . i PANNCOS hogan ee 6 Bs EU eg Dea
Dingman of Lot or Vaule Owner. ...-.-..05200-Entered into Ledger, page... or below.
[} ' ' [] . 1 . 7