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Collection: Original Records > Death Records

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

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L1i4 RECORD OF FUNERAL Total No. df 2 ah cateettietls Name of Deceased. . ALOT. Residence. “UY A@44, allege BE Se Baie \ ovvk vanwccaeanness Cent Daa eens [age ae eee eg ger 2 a ee eat a of Charge to: Lhe CEM LERN, YA AMAA eee $ Complete VS aR a pete eee nee ne . . a ar Address. / 3 3, Meahell , pri hijo SWE Leal oe Casket... Y. Ae OU aerate =» Lae. Order given by... Aas, é sink gad dis o SEN 4 sm pie ei Burial Vault or Box ....--eeceeeeceeeceeedeceeeeale or informant) (State Kind) ee OE js 8 SN ales Se elie Embalming Body ... \vvecasgygetreee foros Occupation......: a aia haae: flat al delle ig Reef Barber, $. ...0+ Hair Dressing, $....]]...(Social Security Number) . Dressing Body,$..... Underwear,$...-. }.... Name of Employer.... FES. wa meean a Wala areas Yc PURE ORMGRE 5 clan Gn Sess Cos enews vgs ana Eee Seas « i (State Kind and Color) PROT ORS) osc vcore 6 05a cord hocks wlan e934 Warne wEey esa, 0 wn iandl ealere Slippers, $....... Hose, $. i na SRM in SectmUe Nf Date of Death _. Folding Chairs, $.... ee Se SREY * Candelabrum, $.... Wales IS 2 ie gow wbseiete lots ae ee Date of Birth Door Spray, $..... Gl eR Soc ates ds ees ve ee Age Funeral Car, $.... Ambulance, $.....]}....]serene" "Weary Limousines to Cemetery...@$....--.-].--0} Date of Fune . Autos to R. R. Station. ... a easel ticry «alee : Getting Remains from.......ceeeeeeeefe eee ceed Services at.+/ Taking Remains to.....eececeeeeee eee eee eee cele Clergyman. :/. ny Trip to Coroner's Inquest . ..0 05. fasice coun s sens i Deh veringe Bom GO ic cccces edie Saree csignec ne © offs « vate wives Religion of the Dec Lada. Ary. eat jae Le no sh pee anne ae! . . Ser Birthplace .. <<2/ Onk.<. ofelotes: Moe Le er ea ane z ¥ ia. Procuring Burial Permit. fated Seiavet “ead bible’ WT Pn Se Vain = GS fo Goa) "Cream (ogpenie) . —Certif. Copiesof Death CertificatesNo— Ag nee . Place of Death Peto Aamahartseorr. . Pall Bearer Service,$.. Use of Chapel, $...].... . Budine of ‘egin LA eis CO aludeibatin:. Personal Service. .....cc cece cece cece eee cfece eee Contributory Causes..... cece cece eee e cece cence afer eee e eee een eet eeeeeee ener cence eee re cee elle essed: Fhe cid aide ace Vol & ck v hE ald rte ee ee OE ed Gross Total for Sales Tax........+++-$]-4, OT OYIOP HIDE ss Wis wae sazelee cialis ode chases wales a LS le Certifying Physician. ars 7. Oatley. 2n.Ll. Cremation figo Dhak ation.... cette teen eee seen eee lee eee ed. His Address. (A) AAO.. y ..-line Death Noticesin... Papers .... }-..-.Pen RB Spee ee idyte iicised icant TTT eet eee Name of Fath eee Rag iE cg aa a Flowers, $... _Palms, S aun o’Matting, + Seti! . , seietaiaepar. ~~ His Birthplace. . Rental of Tent, $..of Temporary Vault, $... }.... . : I ig: Opening of Grave or Tomb.........He ee ee Maiden Name of Mother. ++.. Lining Grave, $... Lowering Device, $ ce TIES san Seco sth Her Birthplace..... wi Candee Outlay for Shipping Charges. .......0. [eee eee ef Meter} Denes lin ay oa ere a sa OA wicca ee oa Chorgyus an,$ ear si Singers,$ . Organist, siebches Nace #929 ae ! Com ; ne Mour } Tickets, Peas wht niin eS See RS . Size of Casket.. pO sp iets Souths Oe iui Telegr., Phone, Cable or Radio Charges..... ]--++++-}Manufactured by: ee . Sos FG Re ea, Cash Advanced. . 2.2 ines eats ce scitsve ncn ccupne ode ob ‘ Caan Out of town Undertaker’s Charges......][---+++-] Interment at.....seers sees eee ee ee eeee { NITE eae ates Lean a ace been eae Pree Lot NO.. sooeseeesseeeee] Se HE SRE CE Ung INE Grave Nos 2 el ceica eas Total Footing OL ME rs een eae hae selene $ : WA at Ft 5 en eke eet ie Less...:. ee ap mati Ske eae Omer Screcss ne ; RO.. ess See oe PE en Piel of Lot or Vault _ Owner. ..---+-+-eeeeeeee Entered into Lodew: page.. .or below.. Nate Aanmead Rat Vstcnne PN Tete” bes . Ambrnt Paid . ’ Rat.