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Collection: Original Records > Death Records

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

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iy ee eae CS en ee ee See ey 118 RECORD OF FUNERAL . Date, {arn ne ede eee 19+ CD Divorced (What Race) Total No.ZZ. Z ¢ Aetiatk Selets 0:5 EB He CTA ieee Se icin pushes: 6S eee 210d U alow ov Raat DaieBles C)Busbana[]wite[]widow t edna tat SER Fae tikeians Son Bi hate lceeais Cheese tank eter Address.2. / Complete Funeral......--.-: Babess sees $. .227).9. ye Casket ..0. ALCAWIIA cece eee ee elf RIT) O86 Order giveth Wipeies jas PE ee ans hs sede cow's Burial Vault or Box ..... Pe (ee Tt ae . Si in How Secured.:...4. Embalming Body ... : ag eee aaa . Pee net (Name of Embalmer) Occupation....... nai iene ia pee enn 5 ora Ne Se ee ee ee Hair Dressing, $...-.]].... vee Me Gocial Security Number) . Dressing Body,$..... Underwear,$.../}.... ae Name of Employer.... Tvs. esse ee eee e ee eee eee e ees aitor Dem 2S, . ss sd eeece cee heave ens ee & MED 5a cate Ce isu ee an wine RT ee hikes marie ls ween ata a oes oe Slippers, $...... en: es oe ee: ee in Date of Death for. 2.7.7.0.. es sc Pua Folding Chairs, $.... Tarpaulin, $...../. .... “a : : ; (Date) (Hour) . Candelabrum, $.... Candles, $.. 00.0000 flere es te Date of Birth. . 4 Z: ft Or lt LG. 2.£. Wroseedutiate wie wis Door Spray, $..... Gloves "Sen Sede ollie lee eae ee Seen BT Funeral Car, $....Ambulanee, $2000.00. fo.00.0) (Years) (Mgnths) (Days) Limousines to Cemetery...@$...... . ...ae pavet Peete 8 celal 2360 uy Autos to R. R. Station. ... HES 5 ises' a sche Moy IE are ee Pane , eee Dern Weg (Gonry— Getting Remains from. ......c00seeeeeffes cee chess Services at.4% UI te cera (0) OTtware. . Taking Remaingto. 0. Os v.< + sn Gav daws flooded ty 7 Doe eh hates . he Trip to Coroner’s Inquest .......2.-00-{].... an had ___—s« (Address). Delivering Box to... Syd 5 a Cites mahalo s «Arg Woo oo . ae Religion of the Deceased....... oy, © v0 S » 016 wlaroe e210 es Peter PIG WETS TO. io sole wsncalfe: esbigee: old Gee gow ee lepsee ts Od ty cays IBS. ose Birthplace .. Mevrada maa C. 4 J i oie bid ee Ba «. OUR CMAIBOR cs ss Sass baipe nee ness so Men es bee mee . x ee Procuring Burial Permit.. .gpceseee eee 4 Hee e ene te cc.8 aGueyar Couty) "(iam)" (idetis) . . —Certif.Copiesof Death CertificatesNo.— . . ... ov Place of Death//lrowaa J cap lehdreees, C4 .. Pall Bearer Service, $.. Use of Chapel, §.-.. . ....[. Cannot Dea eerl lake Personal Service..... Pa RO pipe ee See ee “ty Me OID 3 ar AU atl dle Gross Total for Sales Tax..........$ AAOB ate nie ' . Outlay for Lot..... BEd nd cage a ce cee Certifying Physician 4U/¢ CMD EO ns Te we steer ceeecere Crematien tT aici 35 oie eee PAP His Address. 7 (1 Oa ee ee ..line Death Notices in... Papers ..6.<.albieee oe yd eee Nie) ut SOs 2 eae Scene eee oe ees as penn wet tse sent se sale tars ses Name of Fath CONIA « X. : Flowers, $7.5. ‘Saims, $ ! ae Matting, Soo acs ee las ae His Birthplace....977 : Rental of Tent, $..:of Temporary Vault,$... . .... ea i Psd : .. Opening of Grave or Tomb... dials Ute ath dhe cai AEE are Fe eee Maiden — of Mother Lining Grave, $... Lowering Device, $...}}.... bias Her Birthplace..... Outlay for Shipping Charges. ........ er, Motor bail Clergyman,$.”. .Singers,$.. .Organist,$... ]..<. £0 Ship rt WEIS roa ios dv clas dia ee diye he ik ie kee Se +} Railroad Yee 3: Acro: . r Ww s / 7 l, on Mower } Tickets, : Dalene plane Service,$... ].-..-. ee ee of Casket’. & b. 7 . Ma fe ie ie pad ear er) Z ia; Stach. meri) cos Telegr., Phone, Cable or Radio Charges Pancha i eth va Manufactured Ge em eae ee Cans Advatiegd: 6 ics age vos sas oss tee ie ape Paes ane A . . t i Pa CRAIOOS. coe cee li etsre ss cee Interment at. MAB rag.. Cy.. { Seases. Ont of town Undertaker Charges. Poss p . Bee Naot Sn Sn Sg amma mavens LEST Cole ee . Total Footing of Bill.......0c.0000$1:39.7.)2 § s 4, Section No.ecccccceccccg,[ LOSE TT teense eee gl. . .2.7.)5.8 SES a ‘ Balance...5.... $ oe FS s>é Diagram of Lot or Vault Owner. ....-.-..+.--. Entered into Ledger, page.. .. or below. . l ! ! . 1