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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 FUNERAL cee at Rb ek niin mate Mle es oo yo. cee crane Po. 2 gee {1 Widowed 0 Divorced (What Race) : . (C8usband[_JWifel] Widow Residence. . Ae GHAAG, (BA ooo cee Peer : “aie me t ee. ee harge to: one ~=ffp, i Ral Complete eee Peers $ Sa ual Casket...#. eae.. Woe n vigils «5 testa 12S. Order given by... Burial Vault Ss. oo eeh shin eA Sieh Se ES Sr (State Kind) How Secured ae = g Body mt — Fe Neal: nc eka ° ; Barber, $...... air Dressing, $..... ]... t ? Sik onesie Dressing Body, $....:.Umnderwear,$...]}... Name of Employer OU ES Pore er eee er Sc ewine (State Kind and Color) PORES dig keine 04 now's xs Fie aly h dppawly eat emeite Soe a Slippers, $....... Hose $e ee BAe Date of Death Bhs a0. oi Ae W/, Folding Chairs, $.... Tarpaulin, $.....]]... Date) (Hour) . Candelabrum, $.... + Candles, $2.08 sss walls Ses on Date of Birth. Sper. ce ~ i. 8 SEER «+, RPS -+-. Door Spray, $..... Gloves, $.6..00. fe. . oe. a “7 Vy 4 : Funeral Car, $.... Ambulance, $.....]]..-Bee «; a (Years) abs Tee . (Days) Limousines to Cemetery... ‘aaa tis A . a ony Date of Funeral. tek. at Al ~-MIYA.. Ai R. m. Autos to R. R. Station. ... FS vores Sus tao acer (oes st vieny pour) Getting Remains from. ....6..ceesccceelfe cece Services at PLA. O5w a 1k eVan ene ONS Oop. aie © 6) 8 Bre Kile le 0 0 pia ele ae & 9) 2 © 0 e-sH0% Taking Remains to Arig Te, ee eee ee ees . tae Clergyman, . seo y, mat Gk, ao, ee ie . W Drip to Conmmer’s Incnest. .24. ccindeesncigebee:. ol oh Ulsareas > Delivering Box to.. 0.0.5. .cceeeeee cece ceed, “pallies Religion of the Deceased. M Aner! ind ee eens vsin comes Deliver Flowers to.. .<.cccoceeccceccevceecll..:. Removal Charees, oF. fuk. . as otha dow tore eds oily caus ig wea Procuring Burial Permit. o-oo esos sures eae o » Resided i BERD CRE ___Certif. Copiesof Death CertificatesNo.______. ].... (State Physician’s or Coroner's. 4 Pall Bearer Service, $.’.. Use of Chapel, $.,-.]}... Personal Service.. .... 0 cece ec eee eee effec eee ; Gross Total for Sales Tax..... He tea Beek . er } : Outlay for Lot.... . A ee a 8 -Ae, Idd. Reed MGB.. Cremation.......--.2+64Peet. ear Ar.. Si Pinter _.,. +++-line Death Notices in... Papers og 566 eso: > Pees ee see pga aac itre tnt tates Bed ee Fey aoe Nariel lane Sidelines Flowers, $...Palms, $ Matting, $... es ne 2 a Rental of Tent, $..of Temporary Vault,$... ]... Opening of Grave or Tomb.....,...-.. . -----ioheerea = a Lining Grave, $... Lowering Device, $.:.. . .. Ue bay Le bb sie 3 pigin’s oininigin bald» Outlay for Shipping Charges. “RRR xa Neagle CB oe pe My mec Clergyman,$S. =~Singers,$2.* Organist, $2.5" ee RN oe ta niee = sige r tre") Raltroad \ervckets, $.... Aero: Service,$... ]... ety Qedur. Saiears, ie Telegr., Phone, Cable or Radio ae a ce tacatfR Go ee and N: ) 3 oe ? ras e Cash Advanced. . Fuca “ao a . ne Nea ; Section No.... Recs He Is Amnunt Data . Ralewan . Fini . . eee . ~