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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 Total No..Z/...0.005 Yearly No.. ...cceeeeeeeg. Date. MAACh.w Looe eccceeccee. ae Name of Deceased. [pe ee mn ate Single a Lathe. Widowed 0 Divorced (What Race) Residence. //.X. PY $ ahs, es ee 4 ’ J Pe nelay ordne ps ad fe eae io a Charge to:.. AAtand.,. Ade.cdte.......,. 00 CTC Complete Funeral.........02 00000 $ 2 Address. . VIlh. pon eg eo eee pete “bed. “e i ors i i ia a Secs 74 oS teehee “35 Si t)s5e # Ses sé eiaisis emis Burial Vault or Box ... ALPE eee aa How Secured.:... Go piddadt” ee ay lee Embalming Body ... Geine ie eetvaigey oc dle 1, er Tlaileosnec ceca Barber, $...5.,..Hair Dressing, $.....}}... (Social Security Number) . Dressing Body,$..... Underwear,$.... . ... URE SI ORR Se tl S66 Re PISS, # oe =: ear BONIS BIN oi ica: sc w ou en ce bse vin wate « Bue te (State Kind and Color) Spehaneue’ sluplereisln(scarslanw sree larelereiei sel pos lw! e-wlelladstonetulig ia wreheuate Slippers, $.......Hose, $.......4... ft 27-19441..... &/YSAM,. Folding Chairs, $.... Tarpaulin, $...../}... Date) (Hour) . Candelabrum, $.... Candles, $......])... MAM, . . 2.2. 74K GZ. Door Spray, $.....Gloves, $......])... pe 4 EE wlan > tt PT eee : a ee Funeral Car, $.... Ambulance, $.....]... sae (Months) (Days) Limousines to Cemetery... By Sis csi sales sactallte «tsi Date of Funeral. Jaser. =H.. Sateides $e /0:.A.m,. Autos to R. R.Station.... @S. occ ee. a) my ot Wow iene Getting Remains from...........l... Services at. beep Wa : Bose. a --. Taking Remains to.........00eeeeeelle eee rgym (GTrip to Coroner’s Inquest ..........l1... __ fo oar a F Delivering Box to.. .....cccccceccceecll... ealgion of the Deceased. Deliver Flowers to.....ccceceececeeeees Removal Charges....-...ccceeeceeeeeee Procuring Burial Permit........... te Number and District) ——Certif.Copiesof Death CartifientesNo (State Physician’s or Coroner's ) Pall Bearer Service, $.. Use of Chapel, $... Personal Service...... Lasik 2 sis as. = alpen! POL MET MOR SHS EH HE ESO CRUE E OHS OC COO eH eee coe 6% 5 SS EMS Be Ce CO ON C016 F440 © 616 © Ole € oR 0 Nb o 6 & 006 61o © oMhe% wie o> < Gross Total for Sales Tax.......... $i.. 6 MNS Fee BIB sss bo sas ssn viele 06's 0:84 wine ¥aMbe ee wks RPOTMNIOE Le Dn oie due Soa aden ewivd tye ene dbs ee, line Death Notices in... Papers ....0b 6. Senedd sada es o Geib arabes Mtr eee Flowers, $... Palms, $... Matting, LN eo . aa .-. Rental of Tent, $..of Temporary Vault,$..]... Opening of Grave or Tomb.......... . ... **) Lining Grave, $... Lowgring Device, $ ... . . er Fists Outlay for Shipping Charges......... . ... Clergyman,$5.7?-Singers,$. . . Organist, Sern Were $s or Motorf Lickets, $.... Aero Service,$... ]... ‘. Telegr., Phone, Cable or Radio Charges..../}... e Cash Advanced.. ...0.0. 0. cece cece wee cee Out of town Undertaker’s Charges sak Setar piapoes a Mbese + oie Mia ig , as Total Footing of Bill.. oo.. eee, $5.87 LOSS.. 0.. cece ee eee ee Bie dite Miche s Sais bae $I.. 1.2 Balance do eeneaaiy adhe $0.5 Entered into Ledger, : page... or below