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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 FUNEKAL Single’ Xx Married ly.. am a Residence .4 Z:tpraga,. (What Race) CO Divorced (1. Wido ee ee Ce ae, wee ie = eaaisaaaale : eee eee oesere eee. 8a Charge to. . 20242.. PA8G Complete Funeral ....---.-snes on “-2 ae ‘es NIE ery ciodel ie . v Myst BAS y Aer ee a Order given by...-. Min(or informant) I Casket... Y Metre.. ae cee tee: fim cers Burial Vault omBox~.-.----c2ce (State Kind) . ... oe ardlal dente sn Pes ares Embalming Body How Secured.... PhereBE Ug te a a ee ing, $...---. . --ke Hair Dress 5 Svcue5 r, $.02 = Sea nes > eu ee ane lt es Barbe ’ .-Underwear, $... Wa: .-, $.. N 6s Wasa iaes ing Body Dress y . y Number Securit (Social se e Ne eres see aeiabeeo csh ids art Ge Deis 6. co oyer. .««218. 2s oe eens ead Hee oe tts Perici = Occupation Mame of Bapl , ease ee Suu ae kee aes SAS ess Nara tel ace: wre sexe § OiBT Oe E ot Oe ns (State Kind and Color) se $ aa Slippers, $. sete teeenees Hose, Be ee en eeRE -. a ..Tarpaulin, $..--. $.. s,$.. ng Chair . Foldi Pm, 0 /2,3 e soe yee. s ..Candles, $<0 rum, py eaea OE_ o elab Cand (Hour) (Date) -.+-Gloves G0 <iseteosl see A, ts Addr odious tebe le Sate ees /8 76 BOM : Of aS set iecena Fr fai /0 Door Spray, $.. -ee: Funeral Car, $....Ambulance, $... ue. Limousines to Cemetery... CPS A ners ... as. lee Ss Cm] Autos to R. R.Station...
980 . nadey.. Lent 8.. sha ..-+-++++sse+es: ik Getting Remains from ate ot Wee eens OTays) Seah Mea Date) e Fey sere +-ee Taking Remains to. ....-reer Be ++: ++++ ++++ .-... Trip to Coroner’s Inquest e ae eee reee .e eeeer eee .. .. Delivering Box to. res ara ee reeee eeee -cree Deliver Flowers t0... re rie eeer res eeee +ese .-+ .. Removal Charges. We ++> 0-2+-. --... Procuring Burial Permit.(State Number and District) 7 . h CertificatesNo. r's, ___Certif.Copiesof Deat(State Physician’s or Corone Pall Bearer Service, $.. Use of Chapel, $... ee Personal Service. ..--e eee eee erence ttees ee. y Gross Total for Sales Tax.....-+e+ee0+ Sie -0: wad = e eee e eee eee.. Outlay for Lot....-. ‘ More tion. lca idles +) sao eg vy. a a Physician. AA. Setaad. OG copes. Detenine _..J Death Notices in... Papers .... oe areas”. eevee . “heehee evoevoeeee780 &( Nasnea af Nawepacer: eeceovo 8% * Flowers, $... Palms, $. ag Matting, Sie sr Rental of Tent, $..of Temporary Vault,$... . --Opening of Grave or Tomb....-.---++++: a Lining Grave, $... Lowering Device, $..Wg SA. re. OP PAA LE z Outlay for Shipping Charges. ....---++++Pe aE pe ceceteen ‘. erereeeeree Clegseanit pies Singers,$..Organist,$... Se , or iroad \ Tickets, eee pei Service,$... Es ERI. fF 0. Telegr., Phone, Cable or Radio Charges....si Gash AGVANCEG. 6% 60h i5 cca an sine ¥ pe siesierey E : : : -Out of town Undertaker’s Charges.....-. +: ines Pats Bp iags ic Uy des isan. Seg ‘. Total Footing of Bill.-...-.-00s2e00bee $3 . LOSS.. sees cece ee Balance....... $ ee ~2.-+! ae itarrnt Paid . Balance eect e eee cece tenes $i. . Entered into Ledger, page.. ..or below. . Re Date . . Amount Paid