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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 Fei dapnen Re cust ee Date Ma. ME ccc vnee IIS Name of Deceased. ./9:1m . Comma.. Cy ar helne tect Dak it ane neg eat tes hee Vag ae aa, ae Ds ee Ra DD Married DD Single IX] Widowed D Divorced (What Race) Residence. . AA JAA. Va Hey FALL eee 0 mnie f eo Gree Cor oi eines SE Bene eee of Charge to:. DLL, MATE ccc ccc cece eee retin oer the ~ 1% Se ee eee ee Si oN Cm Ee Address...7 Cera. . 4 Snead. Yebay elie a — —_ . ; } fois « Order given by. Mths eect cece Parial Va or Wbx ss iidacaedos-0 «-sdeses cake.. (or informant) (State Kind) How Secured.:. i ee a ar Me a oro a, Pare SELLS ofa Aen, Sees eee ae eye Ee . Se OBO (Name of Embalmer) Occupation..... SEE coels Oia bb ckialaans ve Bebe scale Barber, $...... _-Hair Dressing, $....}].... 4 er (Social Security Number) . Dressing Body, $....»-Underwear,$...]].... Name of Employer.. . 0007.. .e esses sete e eee eee oa) 6 Ore Cees reget: cee trey ae __—— (State Kind and Color) SA CGBOSE 5 «0 eects lee oc yrs reba g le wb. 4, Ree eels ciel peg alas co eph eheoas¥ co Slippers, $.....0.0. Tey ee ae Date of Death. 2h, 22.00.. 7.3.9 fre, . Folding Chairs, $.... Tarpaulin, $..... ]....[.-(Date) o (Hour) . Candelabrum, $.... Candles: 6. . Wo. d.cctoe deme toy es Date of Birth. . Mon. ee are [ Oe eee Door Spray, $% i ¢.%6. Gloves, $....... )...--[.-5Age. ..... Sf d menses ee etre / / sre sielieyelseaee of Ff ol pe Funeral Car, $.... Ambulance, $....--l...-}-++(Years) (Months) (Days) Limousines to Cemetery... COS oie oe ees acorns ce pkacio hie eg ey er ee en Ane ae 02. (. Autos to R. R. Station. ... ft Ce ligt 2 on, jae Bow) Getting Remains from.......-e.ee cece elle eee ee fees Services at: cages else vO Teno, rot Taking Remains to......eceeeee cece eedeeseees Fee ee Wop Wine Pee eee ole tae Wl AEE aie wns Trip to Coroner’s Inquest .....+++++++++-. [-..25. Le (Address) DGHVErING BOX PGi.. bose hip crets ois Moree vas de meedadls dus oe de Religion of the Deceased. ....0 ec eee eee eee eee eee Deliver Flowers to...csccceccceccceesseecllce.ee. Birthplace ..: pi ee a Cadel * oo ae Removal Charges 0 oe< fs 0 sevleuielw bees asi oe © dllas comeeelsie as y Procuring Burial Permit.. baw, “ad Sedat “end dietien’ ; j : A ‘um! an ict) BS 1 CREE in wi "en “. __CertifCopiesof py elect “ee EE Place of Death //tarla A es ee Ce ies s AG: <—f. bak, Big ty oo. Pall Bearer Service, or. "tac of Chapel, 3. Gi he, SE Cause of Death; WV! lant oa na, a OE Personal SERVICE iirc. ae sxsw Ste meine et eal v ae offs eee alees < z ; ee, Chay CO 0 WA wel 8 © BIO A 6 E265 @ ab DD 6 O10 Fi 6 O-On0 BO wb o0ee Dow 0 00S ae Pea © Contributory Corsi Sree, FACES 5 Ce sk pc faic o-2 eh toleg = ale giBpecailordus wi BL Sleeiseg 8 al¢lans oiere etily! giajwog lf aig co ante selfalentee Concenoann 0. MOP cecccancececteceees Gross Total for Sales Tax.......0.04. $]..3./45 OER GTOn Mate a tise cc ss cle ales a ata n «gallos OWE depth Certifying Physician. LU ott olf fer, Me ‘ (lat. ad.. Pecanian orGoroner) . CPOmAtION. +.. eee eee eee ee eee eee eee eee eee His Address. ;. A72V Ie.. OA oe eee eee eee Bite Pipes OER N=. «BADGE sis. sfc adorn eiiky ea. Motl ) mir wate ne ten Ei nso as anes Ere te anESTeaR, Contd eT Pe cee Name of Father. AM Se Moth ery “a.. Flowers, $... Palms, $. te ; Matting, Sanaa . PRR a 5.) Cee = His Birthplace... Pi incslles: SP rs 1 Bi i erate He. Rental of Tent, $..of Temporary Vault,$... . ....]. Opening of Grave or Tomb.........]].--2-0[-0Maiden Name of Mother. Lining Grave, $... Lowering Device,$...\.... .-. Her Birthplace...7.4 Outlay for Shipping Charges. ......... )-..-OA es Motor oo el Clergyman,$$.%? .Singers,$. @ Organist,$...]]... 3}.2 0. F R EON reve SEER, Fhe ph tad grates ell mae ek as Ship } Remains Railroad \rsokets, Bi nivess AaroService,$... ]...... Size of Casket.....3: nae ee Ale ae ta Telegr., Phone, Cable or Radio Charges..... . ....[.. Manufactured by.:::..0.ceceeceeeeceeeeeeeenceseue: ee ee meres, Cemenr ry are : Out of town Undertak Ch AS RIE Weise am Aig Interment at. AWE. we cee cece ees ome mvt x . # iyi ae pees 3123 LOtNO..oossssrseeeensn A RRS CO BA GrneNels. cst Total Footing of Bill.....0.e0ee0eeeglee. 2/12. Be Foe Me USER Sl noc sn amenibemiee see's sactQel ete Ss Section No.......--4 $ Z. i Balance....... $2.9. 25.2. bleeliud of Bnkoe Cua Owner. ....--eeeeeees :} Entered into Ledger, page.. .. or below. 1