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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.9/....eee eee Weekly Nene wha cst + nbs on Date 1/24.. ae el Name of Deceased. 47.K44a2-7. been. Hotel i elias soe ane eee Pate el Married Single Widowed Divorced + Race) Residence/// angled Meat ALMA, Vokley. ah an © em ait fant . ee ae ieee ‘ (2 fa Sed cai Re eee ee: of Charge to. Mee.. here, Prt act swe Hine og nae , ll 3: aaa Mery Sond. Ne-> A pres Uobbey, 4 Complete Funeral 0 icc oe eee re ees a 1. hart, & doth Casket.. ¥.. PAW eee oo + Order given by. State, . &_.¢ ep ee Sere ee Burial Vault or Box ....--cceceeeeeeeees La A. (or informant) . (State Kind) How Secured. . Ln rhe @ A 4 6 ee Embalming Body ... Toe aap ae ke" eae tates vane Occupation.... facet Oe Meroe ate Barber, $...... Hair Dressing, $.... wees ei (Sgcial Security Number) . Dressing Body,$..... Underwear,$... ine Name of Employer. Aha! amy AME CMrrt eee Gerit Or TO oe sk ie etn te eS (State Kind and Color) Address .... Bae U tihee ob e ex? ear as a Ee 0 Tenth Cee 0 ee i le 3 2 S/ Gm_ . Folding Chairs, $.... Tarpaulin, $..... a Date of Dea Ye (Date) (Hour) . Candelabrum, $.... Candles, $...... ei Date of Birth. Aye i copia SS 7 Sy Se ere Door Spray, $..... Gloves, $...... Use . Ape Pi 7 /3 Funeral Car, $.... Ambulance, $..... A aad . sac aa (Year) Months) ays) Limousines to Cemetery... OS.. eee ie Date of Funeral (mg Le Srey “ale o239,, 74) Autos to R.R. Station. ... @$.. 6.2055, = _ DF) spe ar tet a (Hour) L Getting Remains from.........-005a a8 Services at. WV ee pran.f. Avena, PR rte ~oe-Taking Remains to.. . sides ci sewe dso vers. AT? Cereyenun Job Padé Kher, (Teeter).. Trip to Coroner’s Inquest .....-.+2++-5oe See tere j if (Address) Delivering Box to.. 0. .6.esescccussdeneecs oe Religion of the Deceased. . ennai be eeeees one e eee Deliver Flowers t0.....0eeeeeeeeeeeeeees ae Birthplace OD orth, (eho fokt ooo: Removal Charges....---+++sseeeeeee reese tee Ee i ee Procuring Burial Permit. . . seisated ‘and bis’ . A ene: «id w iy sr Geis" ea)” . ___Certif. Copiesof Death CertificatesNo.— ji ta! ician’s or Coroner's. Place of Death eantlecern. . ctw TAs Aches) Pall Bearer Service, $.. Use of Chapel, $... ie Cause of Death QeucimhehL ALL Wh Reemaseg Pppponal Service.. es ee ee ees a , ” Contributory Causes......: eS ae Sila Ares ot he ill Le vocdtrs =: seeioben lore tane (ehuire, SiS cc] oom Su ftiaae a steal dis' ils) Sastele = oie CS tien det tok eek Tole hte ieee » Gross Total for Sales Tax..........$)).. 2 i pte Fe Ba occu: 6 e's sub oa ew nlo-oid. ve 0 9 owed rely Certifying Physician. AN Ke < ‘Comey’ Contre, t Crestentions cas AES REI TERR HENS re Erle 5 Sree His-Adaese a eles = Ve a a A Bee lye ees Bre ..line Death Notices in... Papers ... Cae . ate : ‘ a) ’ Aol lo ea Aa aie oan ose wis once ere nes <n -Name of Father Addlaryy oie ag Bh re seater Sahar Towa e.2 ( p aan, = ‘Watling, gdh & His Birthplace.. 7“ «e-0Wess om 4 Bethe aia wosirecems Rental of Tent, $..of Temporary Vault,$... }.. L ; KNebbe a a a Opening of Grave or Tomb......... Lobe ff Maiden Name of Mother. +“? Ghee hs re tintha Grave. €.. Lowesing Dievies, ay Cake . Outlay for Shipping Charges. ........ Be. Clergyman, $3777 .Singers,$.. .Organist,$... ue = inoad . Tickets, Seen ee pe Service,$... ae Telegr., Phone, Cable or Radio Charges.... Bere Cash Advanced 5.550 oleae nc bese cecespeess Out of town Undertaker’s Charges...... pale Wa io occas. css wahd ce ices sae ‘Total Footing of Bill.......0000 000. 3} 57 ORS Sees wsacltel ctw iee Baie tates diare aoe came $ nae Balance....... $ ‘-. Entered into Ledger, page... or below.