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Collection: Original Records > Death Records

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

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Aititv RECORD OF ida eee Pr ae Den en Mier Name of Deceased “ iy 0 Married C Single CD Widowed, O Divorced (What Race) Residence. A LAGS. hal . Cet. Es PAL. Aerie Psaltis Sper re eee Chia Ba ee a ee nT ere ene ? Complete Funeral ..... 2+. s2s eee eee ees $. I. 1/34. G POAECRB eg cre direcsis.e v wee sc SrUeIGe 6 6 gree win oleiweelo.dha ssmeigiete nie Casket “2a J.2 6 BCR oo VL AL erties a 6 dle vise eis oes vase wolfe em ¥, . ce Order given by. Hin.. Fee. vette teens teeeeee ees Paria! Vault te Bow cs en cere anos pa tps eecfes (or informant) i F . } (State Kind) How Secured. :.. Phar Sk ANCL Coe ticaral aati te Embalming Body ... ates Dan oe Sad aN Occupation.... Ah Mile Ni asians Laie he BPRS teces Barber, $.... +++: Hair Dressing, $..... . ..-.-]. (Social Security Number) . Dressing Body,$..... Underwear,$.... . ....]. : Name of Employer...20TW.. 0s eee ee eee gens Rubik Ce PIPCOB cic. + vues cdiee Cems eng bane ettea ges VAR PROGPOSEIS 5 a 'aiiwas nlsie ce os aie be Vink hw Caen een ee es ater Slippers, $...... a 29 ns mi PRM Sit . imetenTE. 7A Date of Death. Yd. gel: ax dy fa # 4 3¢. Aru Folding Chairs, $.... Tarpavhin, $ soos eahes Saye (Date) y (Hour) . Candelabrum, $.... lancer, Sei cele acces oe ob eae Date of Birth. Dit fae BRE ie ccs silanekes Door Spray, $....Gives, $500 ee Pes Si auracatad Fe rk 2p Nb tiiea FN i A ee oe Funeral Car, $.... Ambulance, $....--. }..--: (Years) (Months) (Days) Limousines to Cemetery... Se cle ole aban cotta 2 he Dib OF Fae i es ae, 5 ies bags, sole evs m. Autos to R. R. Station. ... ot See Mas Peres se (Date) Ww (Day of Week) Getting Remains from. :....00c.sceeeeeefewseeee Services at A COC . NWA’, 21 prtwacty. weenie Malis HuemnOis BO. a. ss Fas oo cp oso cisie olathe e900 COLTRI SoS a Sy os ava Cas 9 diss co pee es Pelee sd oulens Trip to Coroner’s Inquest ...-.++++eeeeeeeHe eee ee] ny (Address) MIGHVERRS BOK EO Sit. sere ses cmieiee.s wigipew tien ellie wee ope Religion of the Deceased.. 1.2.. cc ee eee ee eee ee eneeees Deliver FlOWerd £0. ..00.deeccvvevacesscescelles cnccs Birthplace : uneabendeverg, . Avorn eek 8 a Removal Charees oii. ¢csin ccsicre x alpale slsvele elo ssf grelae ibe uiein hen Sy! Procuring Burial Permit.. site satastes ‘wai buddy’ Wn umber an REE ee eS a hy rei eh *‘Gidais)’ Otgetis) ". ——Certif.Copiesof Death CertificatesNo. A Ts Place of Death.3.$.9. Che.. AM. Aft. eee Pall Bearer Service,$.. Use of Chapel, §...]....[cae ee Perna Getvieb. os. 0cton Oe emes aes sacri Causes. we SI Nc ss spa Pcl d wile u'y bes Ge dek > cna aver eated LDUUMOINA . Phaesd -reprairadrle. .:.{ Gross Total for Sales Tax........+++-$ al unite Tor Eee os ied soi ees Salen S oaes Ad 0 stints Pubs anneal, Coach Zr Dah ane. Fen tine ec eI RIOD 5s wining « Pe eer) shes: His Address. -/? .444. 0/ thy Me eho .. line Death Notices TAS oco8 Papers.. scale sees ef 3 4 ee Cee seas Rpgknns tartan Caneahs hs atk eetace 5 Name of Father. . 7° sre ee nan) i trae Flowers, $... Palms, Spee ae >" Matting, hia ont) . fe een aise) His Birthplace. AS, Auman. .. Rental of Tent, $..of Temporary Vault,$... . ....]. Opening of Grave or Tomb. .:....5.00c00 eer sees abe Maiden Name of Mother. oc). cis i550 sae ose 0 blew tie ong vo Lini : . ning Grave, $... Lowering Device, $...]]...-]. Her Birthplace. . Tinker wane Outlay for Shipping Charges. .......2.. [--+++ ed. a Clergyman, $3o.¢. .Singers,$. . is apr Fae . per iege 0.4. Ship f PeEMAIMS tO.. 6. eee eee ee eee eee eee ee eens Railroad ian ; mar Moter } Tickets, oe re plane w, Service,$... . -+..+-. gl ae asd ghitcnd Nanbey "7777 17117. Telegr., Phone, Cable or Radio Charges....l. ---+ +++} Denutartariig cs oo. is oh ch ieee ae erode dare ewes poy Advanced. seen eees pS eer Seen of to n er’ OB isin ccs sie caer oN! » © ess oles aa nov csvsecevennnee eae caatnohdel ane aoee Oi Lot No.. eeecsessseeeee] cease eae eBoy. <P Crewe Hoa ik hes otal Rooting Of BING. seo aks Seen ss san gh. 374. Sil 6 ae abt oc dU tee ets giv «vcs ited eae tas CY ees Section No....0..6-+ eli ; es — ——CBs een $. 1.7. 7. Diagram of Lot or Vault Owner. .----++eeeeeeee-]. Entered into Ledger, page.. .. or below. ane _ . . Raa asent Data Ralanan . Tikato a8 F f . Amanmnt. PaiA . Ral.