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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 qoute ee Pantiil oko Date. LYel...Z. ait t Name of Deceased > ae TOM, . AI OWMYG. 0.. NEEL . LER ve RC eect uaa, helt. ea Residence! . Aaaat Fe EE 5 SEU ees Sat er Dep at Ceti Hn tik Complete Funeral ..., 0.0 -0.00c0c0e seen $. ).3.2.4 Address. y GR. Varney (AUG cece ceeee Gate ae aes, . ey # C Order given by Burial Vault or Box .....0-eceeeeee eee effe ec ees (or informant) (State Kind) How Secured... (har, vate ece dutta a ltendioin a <i: Embalming Body ... Gunite oc : SRS Nad Ale ae ar alia Barber; $.~...5... Hair Dressing, $.... jf ..-. ses oh MA ences gr (Social Security. Number)” . Dressing Body, $..... Underwear,$.... . ... Name of Employer.... eee anes eceecescctereeesees CEE NOI 25 nig sic. aly oh tf cee hn wo 40d inlabend a eles —_——: (State Kind and Color) AAURORES SF iajaistone niche erste > cits tp piviaiaie ors a witlelle Sielale-w aye e/a eTaeh Slippers, $....... Bisbe, Si dic. 'c. ck te al Date of Death A/at. ae 49, %¢, Hm. . Folding Chairs, $.... Tarpaulin, $...../... (Date) (Hour) . Candelabrum, $.... CONHOS: Baar. y'csiesdtelhe were ke Date of Birth Mh Garh 1 To. 1h Ose REPUB Faars [sakcs in Oe 9 Yee Door Spray, $..... FIOVEBS ID. = ise has sent e eee 7 0 oe __ . Funeral Car, $.... Ambulance, $..... . ... aisles ot. ee a elie a ( fe Peo. i Limousines to Cemetery... Sin. ae a Date of Funeral A. Oe, veces. 2 Dy)} Autos to BR. R. Station. ... oh ne sgn Cate) ; ge Ser = Getting Remains from........000000cee. Services at AY 0BfRMT. VAL LONTT. . 27 ore? L. “"*+Taking Remains to......e0eeeeeeeeeeefee eens Clergyman. haw. ated Cte ey Slice hee Ne ey Trip to Coroner’s Inquest .....+++++++--{f.. 20, ar _ Address) Delivering Hox to. o oe cc kek ves ese tellt ke Religion of the Deceased. ... 7 oe ee eee eee eect teens Deliver Flowers t0...c.ceceeccecceeccececll oo.. . ; Removal Charges......-.ceeeeceeeeees. cease TACO Ts wines Soe Teele 6% Fg Leo aeee EOE } Iii a 4g 2h, 25, Procuring Burial Permit. . se Sat sat Sag oe Naceabcamatca eluents i ig Gr ey Se ti . Ceri Copiesot gene anes Eh te ysician’s or Coroner's , Place of Death. Miiadh.Ve ae o> SO 29a on Pall Bearer Service, $.. Use of Chapel, $...]]... +5 Caine of Death ganerinh ey Dig . PCRPOUEDOEVIEE, Fo. o5 os oso tale Scie voce ess Maaco Contributory Causes. . page. rt) Rete Mane ies fees aia. UR aye ae Ao Le EES Se pom me te Maly, Ey Gross Total for Sales Tax $ v4 Sew ww ww ew we) TEMES 2UEILIUL DAIOS LdA. wee e nen ene eee vene Cr ee re a ioe ay MUAY FORD rg. os sx ain vis, 0.9 hes Spt 9-0 deolecsta Certifying pris ‘se a. ‘eee ms AOA, tt EASTON «Hc giea.) «5 vidisio ag kgm ~ dca bie eg ls Slane His Address.. Wadd.. Jathens........ line Death Notices in... Papers: fi05:; clleee ees Name of Father. ee Siar ie ek eee aC Ua ef 1 eS Flowers, $... : Pama : Matting, Gees eis axe oes ; “His Birthplace..... Eng bend.. Rental of Tent, $..of Temporary Vault,$... ... Maiden Name of Mother Weackart Opening of Grave or Tomb.........]}..-cde Ree tet We ee tiie gg . Lining Grave, $... Lowering Device, $... ]... _ Her. Birthplace. vasesces KU: Outlay for Shipping Charges. Pele pye ye ee . of ES =) Remains to! BY, 22 Catena Vay ,$32.§ Singers, $e $ es “Organist, $292 H... 3 : oa thchae \Tickets, ie eae plane Service,$... ee Pa tat rp eal ed tenes ¢ tora imei Telegr., Phone, Cable or Radio Charges..... ]... es ro ona ; Gash Advanctde 2. o 6 cp ec cc ls seus ccasefleeeues a eR a ee ree 2 ° AMS I CEO ale enuiee unre Arnie 3 Total Footing of Bill.....0..06.0.04. $2 .9.4 ie . x a ee ee SRA Sas SACI aU A lel a + Co ae 2 Balance.. .'..... $ tse eee : Entered into Ledger, page... or below.