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Collection: Original Records > Death Records

Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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(or U. g or Cjty or (County) pe (Months) Place of Death uma Nos pertek Osfakek fLRUuore, ON Hs Cause of Death Conder , vhreiersy: Contributory Causes 77orae ALLY ENEMA wee. ee eee reser esre eee terse eeeeeeeeee Name of Father iia esi anos Maiden Name of Mother.¢ Oe ee rer ar ere ee Oe ‘. Lining Grave, $... Lowering Device, $... Fler’ Birthplace: 05.. 5.020 Ss ES CR RM, cierein s watloree see Outlay for Shipping Charges. ........ Lad Clergyman,$..:. -,Singers,$..Organist,$... Re LO «oc Meise gots Serle Gia bls auend aco ol aae acess Railro : = i — Wht y ae Money }Tickets, OR tre AcroService,$... . Size of Casket? a (Stats Ca ais Uehale, ieee ae Telegr., Phone, Cable or Radio Charges.... Manufactured ee AEE Gan gc RIe Eh Sie Klas ehae tal ereis (ageing sole COB AOV ENCES «oi ooo sens oo nsec nqie ena ee Pit eaeas be EG fv: / { Cemetery) Out of town Undertaker’s Charges...... . Lat No. .-ssseeessseseee Sele as ee Grave NO. > 5 vindesslesname Total Footing Of Bill.. oo. viatslew esas eae $ . Remi rN nie saa tne tes eae elas sya a lee we Cees $ ; Section No.......--. ——— ; eam t Balance Se © 0, 6186: w 6,8 bo O-8 $ Diagram of Lot or Vault Owner. ...--+++ee2eeeeEntered into Ledger, page... or below. ‘. __Certif. Copiesof Death CertificatesNo (State Physician’s or Coroner's ) . Use of Chapel, $ Pe Pall Bearer Service, $. Personal Service ec ee ee ee Rental of Tent,$..of Temporary Vault,$.. Opening of Grave or Tomb ed ad das pee 4 erin oe vcs cape ene eho eeed dans pe eces Be str Charge to:. ag RU aE sl¢0c. ¢ 6 Da ee eee ee ee ae ae Address. 4 £2 Ae. thse: ra Eee, en eR —— 4 Sie ce Barwa. Casket.. NV. ATVB. eee 273. £0 Order given by... v4.. Laas; asda § tn milena sure Burial Vault or Box ....e0cseceeeee ee eee efec es ees (or informant) 7 (State Kind) How Secured.:... Lig OES Bi ea a, A CES Embalming Body ... spin sl Resceey cree N89 en = 8 Occupation...... eee ha alae eee Mer ese Mods: ollatonwe me Barber, $.....+++ Hair Dressing, $..... . .---+-. .+ee (Social Security Number) . Dressing Body,.$....-Underwear,$...]]...-. .. Name of Employer.....+...seeeeer essences eee SEES Cae eee rece CCoeer: aee eee (State Kind and Cojor) PE APOSE nc uno Ain PEisiond 55 oe eeeTie veers, eyes laree w uleners) oiaraiaraetetecy oh Slippers, $.....000. hea 6. ee. Date of Death Alasck.. f Ae al: /741/ J5$ Ql Folding Chairs, $.... Tarpaulin, $.....])-... (Hour) Candelabrum, $.... Cantlles: $2.. sista Weoty en epee Date of Birth, fori oh 7. Sere 9 br d's Sed cee ee Door Spray, $.:...0. vee, Bos atone eg estes fe ‘Awe Jt Funeral Car, $.... Ambulance, $..... ).... eas aris ren pent ge Limousines to Cemetery... We eS ces ee lw Date of Funeral/imad J, Aumann.. AE. . Autos to R. R. Station. ... 5 os eu us eal : are Getting Remains from......--+eeeeee ede eee eee Services at ; CHIT. N AILPM SA, CLL ON Ae Baling Remains to.. 2.. eee eee e ee ee eee efece eens Clergyman : O LAT.. Lf) Lhe, Ke, Trip to Coroner’s Inquest ....-++++eeeee-. [eve eee 4% a, a (Address) DeliveringvGoe GO! 1 2). h0k sia os os eae ciao stad vedere Religion of the Déceased Deliver Flowers t0....ccceceeeeceeeeeee Hews e eee Birthol Cetin ast abl Removal CHAS a. carcia tice eieles orslegwins! o:5 «cM os cee ales oer Procuring Burial Rermitic. . ccwk cee sien elon cece fies ° Resided in the State.. tate Number and District) Gross Total for Sales Tax.......0000: $ GLa COP IGOC Sib dar eins Es eli a2 2 woul sia.v cs aieiei. fy 2 CPEB ATIOU iia oo arog iw die Gini aj ole He Pas le wetie Ba. line Death Notices in... Papers .... SL akare waltanekee sis ere eiee, tenner ste a Flowers, $... Palms, $ . ee . platting, $... ee ee ee ee ee ee ery er ee es