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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
erect: ERA Se eer ae ae eae
KECUORD UF FUNEKAL :
eee eeeneeer esses
Name of Desens 27a (Lovee, Sater ae SER a i en Meelis a eee Met teow ae) A ease cin wm mbes ab Seas « BOM e ool Steel
(D Married
Residence /4.°7. Vlas. Lf Mw. 4 “Aaradd Volley: ae 0 ety ane: ny eS aN al re ee ee
Charge to. Aude. ates . Aeethea ee
iF: r “4 Ze, ah Complete Funeral......--.222-eee alee terk.a tent L UL
po aaa nl Van: + ah tAE Patt Casket... gS ee . SEB. ©.
Order given by.... 2am.. Deere et tte teeta ees Burial Vault or Box .... 02. cece cece eee eden eee eclec aces
: (or informant) , . (State Kind)
How Secured.... Pharm. ORE i a ee eee Embalming Body .......00:ee0ceeeeeefle ees ee fee. ‘
; PON Barber, $ Sair Liroring, $ chia «x oasis cicats Ma ls
Sein cate Mans ; ee (Social Security Number) . Dressing Body, $..... Underwear,$...}...-}...,
Name of Employer. . ef. . 4, 20g.. 1 ieee eee eee Surt Op Wpessahe borin i, cele iret Slee alee alae anh PETRI GL au titen oltre
(State Kind and Color)
Address ... hike 60 ULI a eee e serene ese recsennes Slippers, $....... pe Peete ree Wem ee
bes ye f SSH. a os S Gree. Folding Chairs, $.... Tarpaulin, $.....])..../...
ee ae ie j a Candelabrum, $.... Candles, $...... )....[e.00e.
Date of Birth. Pi «A OE oO re / J2 A athe. <4 Door Spray, $..... GIOVOS IB so ibis nsdn Pod Ca eed eoees
re yids. ae bi 2h ag a sb OC yaa aie ee EAT
(Years) abs (Days) Limousines to Cemetery... YE Sante RRS e Aaa . en bit ae lle
Date of FuneratZafe, ¢. VHA eres oe 3 A 37 Gy . Autos to R. R. Station.... Sis chica pee Nae coke Ede wl
Sap get Getting Remain’ {0m . . «aki ches os cy ssw feted «Jeeves
Services at. 406.. Catiiatte Thee Taking Remains to.. 5.. 0). teense cette ns acs} dees
rgym tachi. Berea Jr toe ee Trip to Coroner’s Inquest ........22-].... Jee eee
ve nc cn ale: ca sei ees : Denvering BOE 10-5. So. 055 5-0 vo0 wiereie o oe alan ea olf an ce cates weal
Religion of the Deceased.. .<44akes . Deliver Flowers t0....0c0ccececeececeeeeW cc ccecfeceeee
3irthplace . (a ee Removal Charges....... Rr lero in babes ies, . E:
eed 2e ¥20 Procuring Burial Permit. . TET rae Tere! as eel
ss ga = nine Dele s. =o or County) ——Certif. Copiesof Pee ee ae) Aes = eles 5)
Place of Death.. “S7#ad?. Fo Meg 22 APS. 1 flows Pall Bearer Service, $. . Use of Chapel, 3. eee Pas Water
euse of Death oie Personal Service.........00. ME, Si sy ier
Contributory Causes. Aabenein 4 Aeher-eted Fe Mee as ely cick mass streets aa vee besedeessecseerlnee fice ss darn
t PhsaoaRe: Prescmmansn. Gross Total for Sales Tax.. .......00. $il... 7\7%.
US £2, Outlay for Lot.... Fe een a Ber Ar al ey . eee pelt be ego
Dertitying uate eet a Gales Rs Sania Conse ion ee eee cl hoes Tela Eiepy.
Tis Address. ee aif: ¢ eee Oe een line Death Notices in... Papersi, 2 iS liso ae
Name of Father ort yp Teg >=) Sa Ga Flowers, $... z Pam, $s. ; "Matting, ad caeceags dic camtetone ted ee bik
dis Birthplace. ee falas ta AN CONE bln Sats a SERRE ¢ Rental of Tent, $..of Temporary Vault,$..]].... ...
Miaiden Nam 3 of Mother. Sy wes an ee Opening of Grave or Tomb. hese a asenede sills semnae]e teres
Lining Grave, $... Lowering Device, $... }.... .-..
Outlay for Shipping Charges. ........]...0-feeeeee
1 cae ee Clergyman,$:.. Singers,$.:.Organist,$...]]....J...
Bie a ee Ramee} Tickets, Se ae — Service,$... J...-[..05
. ae 2 Canc Telegr., Phone, Cable or Radio Charges..... ]....]..-.Man se Se LE a ne Coens 2, Pane
aenee _ ee of ayn, Undertaker’s Charges. ...... [-. +.. [eeeee4 geet. : (Sal Oe iam, Sine Lai
3 sawyer . . No..3..27:32... Total Footing of Bill..... 0.0.0 ece se. $3 F.91Z dk.
: 2 em eee x, em Less.... Ps ace ope aye $. .2.6. 7%.2.
F , r o Mas . Balance.. .3.:.-... $ ST. 37:
SESE Diagr aig End eee s eee. : "Entered into Ledger, page...or below.
! : ie Se em i . Date . zc . Amount Paid . Balance