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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
; Par : See cece = Married fal aac overt a “winonus o 02 66 a cae foe eee esevecseve oe 8 bad Sree
Residence. .:. Ateoka, a er connammaaieaneaieee Drea Bite seven: IROL
harge to. ine. . Arartee WO il Oe IO me
Complete Funeral....-----+-eeee eee $i}. 2 . / y
OSS, ccc cc ccc cece rece eww eee eer reste eee eeeesenesees A
:s ee Casket... ogni fe el age kas RAL 8.
Order given \ by. Mba. . heorctar Wlbrrn LAN. ss Burial Vault or Box ...-.-2eeeeee ees eke pores
(or informant) (State Kind)
How Secured...! ig ee pee WAL S die beans erate olSh4 Embalming Body ... Ie a ae in
: EO a ete etek Barber, $...... Hair Dressing, $.....-]}....
ee ee ai ee (Social Security Number) . Dressing Body, $.....Underwear,$.... ]...Name of Employer....i nA NM PIN BREN a Pe pee SCT ioe a eee a eS. cone ae
ee , E (State Kind and Color)
AONE Ua ciiad oct wreckcela soo elke pale a ee ecient Babe gg.e ees Slippers, $..0...0. “TTR OS baoe ie:
Spa ie aaah / ps J Le : fai: eget Folding Chairs, $.... Tarpaulin, $..... . .-.-i paae es Death Pune AG ” Candelabrum, $.... Candlew 9.50 .0.5 7s eee
» Date of nl ge : 2 daz « c'e atele Pos eg eee Door Spray, $..... GiOvess Sons 5 hcee aloes
a4 2 . 2 Funeral Car, $.... Ainbulance. Si. : 5 o.alaiy Me ens
se cell oni a 2; Limousines to Cemetery...@$....---. Jeeee
“Date of Funeral Ce . 10" dhumadyAl.... of, 7 . Autos to R. R. Station. ... ES ie. ce BS ee
secs (Date) (Day at Wak) (Hour) Getting Remains from......c0sese0ee-fe.seeeServices at. . St a Oe Tokitic Reman tO. 6. vd dynes oes ae cies
Trip to Coroner’s Inquest 0.0.6. 0c aie hfe ne vee «
Deh vering) ROX GO.. 5 <5 1-6 sesste-e. «oie. ovsle seem eee Helens eee
Believer Plowers G0 o'. 00.00 avi tie sess as asco ee offic Wivee
Removal CHATZEG ci ici. nie oe la nies din tcc eie he alle = wae ns
F Procuring Burial Permit. sic ial ‘and bie
: Resided in the State.. tee EG Sen i iietie) . —_Certif. Copiesof fig ie ames bj EAE
¢ ac ysician’s or Coroner's . i ee Place of Death. a Oe. pee ea ee osha ole ae Pall Bearer Service, $. . . Use of Chapel,$...]]...
pod of Death. — : Ceckurron, Pe on Personal Service. . 0. ee ces ccc teen ene ew eenlees ee =.
Pete eciaienk le cle Siw ollepece 0. Seacd ie ole ia wcGae ein: €.4 Sola ht 0 even tulle © 8) Oi Si miM ete a6: <lhcie Oher¥ 8 §e © Sle ews a & 6e le 6: el we GMs: =) 30s 2%
TS I lexis ch gca <2 Gross Total for Sales Tax.. .. ss. 5.0. . iar 3.
4 PtP O PMO scar os sete 8 css aerate sence stags a Sisal oera > ee.
ying Physician Bl. o igouaas Loe et ete eee Cremation 7.05. 8b. ise spe nen oS LPs Slats 8
1 j . ine Death Noticesin... Papers 5 se halls fc ok
Lice Pe a pcan ane . ales hatlek oe eas
Flowers, $... Palms, $... Matting, $00.. 0.0.
Rental of Tent, $..of Temporary Vault,$... . .-.--Opening of Grave or Tomb........,.+.]}.-----Lining Grave, $... Lowering Device, $...]]...Outlay for Shipping Gharges.........]).--igs
Clergyman,$... Singers,$..Organist,$...]]..-.rere. Tickets, $.... deroService,$... . ...-Telegr., Phone, Cable or Radio Charges....]]-.-+--RGN ONION 5 5 ceo wink 5 GA ss Ue xd by bie eds
Out of town Undertaker’s Charges....... [---.++Med a cts sala ccs onda eee
Total Footing of Bill..:.....0.0 000. si</.8
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BRS rie dee tebe ee eas Sw cei Bm ot eat a
bheal Malang co: ss. Det. } . .
Entered into Ledger, page... or below.
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