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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL Total No.Z47.... sds oe Yearly Nos.. uses cecteees Pat EAE a see 1 ; ao Name of Deceased. .\fia, ppeatere. UE exert 2 eS Ae STR a os Be Oe eet arried CD Single (0 Widowed 1} Diserced (What Race) Residence: Mandd xe Va Bh cacti aein es sit ae verlie wiwle, v lqitie.d sts mines ey ee ieee ae 5 ‘ Ss (Rede shscws Sree of Charge toWfre. Coxazee. 03 PE Cienete) Lf. j Complete Funeral .......-.200e eee . eae osjaegna 2, (ip oe) AIP cated? a eid ean a Casket.. 4.. AAWWARAC. eee ee 12.8, Order given by...~. Lorvcoter. Si Peqgeee Tree. Burial Vault or Box ....0--.2ecceeeee ee eefee eee” . 9 Penge Embalming B d (State Kind) How Secured.:.... CNL ees osu Bs dee oobi asoltnles emeptiaebsaystea & a a g Body .. “ieee tei RP ee . teem ee pati SA why alte hI acres nay BAP DOP oc ass ee one es air Dressing, $....}}.... 2 iagnnegabbais me aca” (Social Security Number) Dressing Body, $..... Underwear, $.... . .... Name of Employer.... ais em c iaaacipleesk 7 eg ate' Suit or Dress.. 20.. ..2.050. . MEM . Siig tee kA a , (State Kind and Color) Address ....cseeeeees ech aang” “ane ck Slippers, $..:..... Hose, $...--.ccccelbes cece Pp Seen Ser nee E30 Sr. Folding Chairs, $.... Tarpaulin, $.....]].... ne Date of Death veg. £6. (Date) (Hour) . Candelabrum, $.... Candles, $......]}.... "Date of Birth, fvty cet ete «ae LE sy eee? Door Spray, $..... Gloves, Soo ess che Mee os oe an 0 a3" ___. Funeral Car, $.... Ambulance, $..... . .... Saal 5 algae sat Ze fer ielr (Months) (Days) Limousines to Cemetery... Os.. 1.1 oe =" -Date of Funeral Len. 2¢. UWnelryad ly vec = oe Co. Autos to R. R. Station. ... ES bos ine eee Oe se (Date) cEay ot Week om) Getting Remains from..........--H]...-“Services at Aloe. Y. Ulsan.. Rapikor oo.. Taking Remains to. ...00. 24 .a0h0c 06 iene <0 reyman. AGM.. WYOTIN, cece Trip to Coroner’s Inquest ........-00]h. 0.00. rs = sige Sadia (ja oT” (Address) * ‘. Delivering Box to......eceececeeeececlle. ceed. Religion of the Deceased. .CaArdece.. 0c.. 0s :++-! Deliver Flowers to.....cceceeeeecceeececH oc cee. i aur ants eee. ie Removal Charges.... Se CET. . AbU lari gg ape 15 7 Procuring Burial Permit. ooo pacsoe feos en PO Rite LY Sop Car suas Teds” Glin . . Certit. Cophonof Death Catineateatton Ae 2 (State Physician’s or Coroner's } Place of Death. Anedd. . a ~ At, Mom 66 se wd eee, © Pall Bearer Service, $. ee Use of Chapel, $ De: Tce : te Personal Service. .... 0.. cece cece eee eeeieceecee AUREL LOU is chee esta soe is ol ccrcathe's cuapaltana ade cctedellieve coms See te ee wm me wee mm e ee re rere es ere revere sesrenseseraiis ere senee eed! . i ri Gross Total for Sales Tax.... erie sty Sie. / . . CURIE FOr TN oon ccs a vin ninis ied caw Gaon desfveesseck RAUERNVONE 2 w siso kell BeeRiely « coeace ble oS A fog eee en eae ..-line Death Notices in... Papers .... ].... . beh fe terev tie cone tie ts Rees CE 6 Flowers, $7.23.Paims, $. Matting, $... . ... 7 Rental of Tent, $..of Temporary Vault,$... .... pees : Lil ween hrele Opening of Grave or Tomb). ool. oe tones «cap annle + — anand Se, Teme el ree a Lining Grave, $... Lowering Device, $... ]...Outlay for Shipping Charges. ........]. .... Clergyman,$... Singers,$..Organist,$... ].... p Railroad Wickets, $.... ya Service,$... . .... Telegr., Phone, Cable or Radio Charges..... . .... Cash Advanced. 7.. . JEP Sie axes Ve oll eel Ty seta . Out of town Undertaker’s Charge@ ......]].... eeieecmoe fo es vers '. Total Footing of Bill........... $13.4 eS en eee er Ls a ae Bs i a eS Balamee, oo. SH.. .. 4 if ie J : >. Entered into Ledger, page: :.”. .or below.