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Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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Page: of 324

RECORD OF FUNERAL
in Sethe Date ert Doon 19%.
of Deceased. 7. W“UUAR LA ert se Leo ae Noida Cpe Mea Feces doe a! Ws eontiaciae/ ists Spits es swieyeene eet SCS 2
(0 Married LC Single 1 Widowed D Divorced (What Race)
ce. ALR ae Coty Pea By eaten bone HE ‘Ditusbana}witel Jwidow =i Ne eer, Steen sh 5, Ca
Ce an A AI RE
We Complete Funeral ....---sea Stina idecasbelleiatilarees
Seves AvedM eT Oe ee :
Casket... eye ear eraser ren 2 3299).°7..
riven by eae a Aaaors— tania Sate etaceientemtaia oaersters Burial Vault or Box..4 ae a os perp Ee . are a wale a . +s sisiere
soupeds; i ccs <d Phra. Pe ae a ge ree Embalming Body ..ee ini a
Sad) os, yy at Raed ile wile sinter meena eer eee Barber, $...---++++ Hair Dressing, $..----]]-.-+++-. es25+” Gocial Security Number) . Dressing Body, $..-.----Underwear, $...-l}..--.-[eesee
of Employer..--. a re ar ee ice a sath ek Gebtor Tees.. ok laden cae Se ces She tee ape e's So cons
sonar (State Kind and Color)
Bh acro banwemgh 4 wad hone sence new Meine Ree OS Slippers, $....-++++: Hose, $...-.-eeeeePe econ esfeeeees
f Death. 2“o™. TO APH. cs 110.. Folding Chairs, $....Tarpaulin, $..------. Je--+eefeor eee
(Date) ae: (Hour) . Candelabrum, $....Candles, $. 00. --00feces cde e sees
f Birth. “4y/..! it ane I. oo: _ Sate Door Spray, $.:..-+++ Gloves, $. 2.. ceeeeef[ee eee eefer recs
$2 g 1H Funeral Car, $..---Ambulance, $...---lJ----++e[eeteee
po ee Pilea Sea aaa ae Limousines to Cemetery ..-@$.-------+--. [eereceefrrtte
Pe SE ae 7 eee 02, 7° .m,. Autos to R. R. Station. ..-. ge Gada
(Dats) (Day of Week) ~ iecst) Getting Remains from....-+++++eeerereeefferrreeeprtee
2s at: AAMT 1 LN LORT, Tarhaery mar. . Taking Remains to...+++ eeeeeeereee eee eder eee sfereets
ere Mew. ; Mesectiot. ! Peat at Ss Trip to Coroner’s Inquest ....-++++++eeresf[erereecferte ts
(Address) Delivering Box to.....eeeesee cect eter tense ee cter tees
mn of. see Deceased....ccccrceecrectsertessete® Deliver Flowers t0...scesseeccceceeeseree spec ce eeedersees
lage <. 0 Madd, Uaths , Yf en tet Removal Charges....--eceeeeeecereee ree eieercecc. ersese
_ y “. Procuring Burial Permit. Car rene ae aaa
um an
sd Ente OE ee J igs Gist "Gan" (ite '. _—Certif. Copiesof Death places ela ee
ysician’s or Coroner's
of Death. . YARRA, «0 ove eens \::-. Pall Bearer Service, $.. . Use of Chapel, $... . ..----[e--+ ++
of Death: Cha. Myce M segremsahvon< Personal Service.. ss. cee eee e secre eer neces foeeccectereese
ibutory Causes....<© A tmehileg, no cccuuces[etesseusectecevemmeseeconcoasseccccrsre nes ties sa . e n
a A ae eer oe POS Leet 1 aS.
‘ Outlay for Lot. ....ecee cece eee ce teres eee rece e. eecees
ying Physician. ers: ‘ Cancrecchaank. ON cteehiecty da ss coe ceieed eg SRS eof ae
pny 7 Hn, Sea qt Ar Aecoormrk = tab _ line Death Notices in,... Papers. iis ees oes feee
oe ee au ee an re oe oS TEED Rae deen sae, Jesse: :
> of Father.. wy. AMES Pent. “a grit ECS ead aa Flowers, $/3, ‘ysPalms, $ . meres) rating, Ee, arale 19).7.9.,
sirthplace.....+ LAAVV RIS, eh ata Geratay clei ce. aus Rental of Tent, $..of Temporary Vault,$ ..].---+-. --+++LinNorourn. Opening of Grave or Tomb....---.+2see0-fferrrsesprrnn
en Name of Mother. . HMMS ire vee re ress ere: Lining Grave, $...Lowering Device, $... . ---+++-jes+++>
Birthplace. ..-.--++++++++ A Pe menaail Atego ry Metres Outlay for Shipping Charge8 ona seas sien se af os oe selec =
. Memetialeg on ate i ail Germ § 546 Soames rom fe AE
x or Motor f Lickets, $...--pl © Service,$... [-ee eee. ereees
of Casket 7.02.2 Alodeirouns 264 € woh. M6, --. Telegr., Phone, Cable or Radio Charges...-.]}--++++-[-+0+°ufactured by. : : hae. ore Cals goirarstockce diy RG ., . Cash Advanced Se a is acs ainllé «woo vin 3's « 8 ne sion kee DECREE ©
1,0
enleent Seb, Sol sibeas os ae hls eo SSN wns ona ioe als . ae ae,
eee ee tee eer Seve ee Ge ain ere ctr MS Nios a aipanel papas sce Src
Grave No...2sceseseess Total Footing of Bill
Less
. Section No....-22+++++>
Diagram of Lot or Vault Owner. .-------+2sereee* Entered into Ledger, page.i
1 aaa: ae TE rae .
. ra Paid 4 Balance