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Collection: Original Records > Death Records

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

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LUuw Total No./2 2? Se ciiaee os Yearly Now.. 2.. cece eee eee a, sales es aval 19% / Name of Deceased.<44@.. Khon. PAC PR 5 te alent poate a Puiyals Bee Ueda Wrage wpe ates ce ee eee ow CO Married Single (0 Widowed 0 Divorced (What Race) Residence. Ka / Uds . Ue ahs ee ca Paice cee sg MEE es = cre ake aes se ee aa Ofertas at Dargie ns mete he ee ee Charge to: . . 4 De See oe seccapeliies. : 7 J Complete Funeral......----.0-+ +++: ease oer Address, 00. tom Meek. Aras Voth ‘oo ae : f Casket. .2¥. Merrit cee eee AGS.. Order given by....#™” Rl Tacs latte aia Taal ora atic oes Burial Vault or Box ...-.eeeeeeeee seers ES se ahah Je ne i ciaeaslile hela opal erie ean eet Me ete be How Secured. :. Ar . —OCUARN. Ee Lesions mem ena Meee oe Embalming Body ... See ame coe arias ee re Occupation......+. pip Sas, te ern omer es for eee Barber, $.....+Hair Dressing, $..-.--. J-----++. --++> a (Social Security Number) . Dressing Body,$....-Underwear, $...51) cen sbeebs Name of Employer.... 000s .-eeeee sree c reese ee ee rete eg ee eet Sere bey einen ores fre east (State Kind and Color) INGATORS 5b cc clots ole o's eels ensle'e poiwigts ob ow swrelniwis oe ebsle gn elhe Slippers, $....0000OO GRA eee eines Mane Date of Death (4. . 9 Meee & e L74/. Zale Wwe a 3 Lm . Folding Chairs, $.... Tarpaulin, $...--.-. Je--see-ferres (Date) (Hour) . Candelabrum, $.... Candles; Gievaasic sos <= pepe oe nts sr Date of Birth.. 4a.. .eF. cece eee ow jutalaece we Door Spray, $....-Pip Sad S's has lee eee OP oes dies ee <n hee ee fi pee Sea hee Funeral Car, $....Ambulance, $...---l.---++-Jrs+++ (Years) (Months) (Days) Limousines to Cemetery... coe SO A i eee Piao Date of Funeral¥iya’/... . ySvnnae Peete ecag toe s M. es edad Oe SRS ood Mater meee ate) asic i etting Remains from.....--Sree Messier CAPE ne Lomis els Services at. Ara gees. TP AENE «5 SRO PE Berrys S =5 > Taking Remains to.....+.+++++% SO i ae ca ele Hho e ee Clergyman Kale A he ase t ee oe Le ee Trip to Coroner’s Inquest .....++eeeeeee fences efor ees °F (Address) Delivering Box to.. ... ce ccccceeeeeeenn estes ec ceebee ees Religion of the Deceased. fal DEPIT Pic conte casters sitio Picliver Wlowetst $0.. ol. ccssccesenpas ees Sebanee cup cae. Birthplace . po es Path as Stok, Sack, aoa Removal Charges.....sscccccceeseee eestor ceeeeteeees Vawsiaes 4 Ub Procuring Burial Permit. RODS SE ER Ae Soe aig masse t witeezhigas Shee He (ii) “. _Certif. Copiesof Death CertificatesNo.———_].... .--. Place of Death. M1 arch A. LUV UREA. a f ‘Pall Bearer Service, $. . . Use of Chapel, Nigie lnens ae Cause of Death: veptann. Cesteleo ati yeh Personal Service.....eee sees eee e cece eeeeffe cece eferees Contributory AEE alee coe aie eR, la rile Senet npn Ea Diy Dae aiiehe, 30 Wa Sind wns ee nee aaa ele ee, a meee Gross Total for Sales Tax «9-0 g...2.18 5. ; Outlay for Lot...4: Breve, . Um, Mot Te 3S" . 0. 9. Certifying Physician.....-. Tiago aa: a Cremation.... sete eeeeenseeeseeee eee eee eee edocs: Pic Addrennic 1oscanee ve ea dnt cays vveoidgen rsd nese .. line Death Notices in...Papers ..--.}-+-+++ois . M rola tal atigehliee arate ne Te) alee a Sans Name of Father. 7." a Al. SR ee aad gee ei “. Flowers, $... Palms, $ ; inne . Matting, at . Wiener eo ” His Birthplace. oA RUA GRAINS.. JLorura, paps By SE Pi Rental of Tent, $..of Temporary Vault,$... ]..---hak Maiden Name of Mother. ee Mh C enemnde Na og 2 Opening of Grave or Tomb. . el: et sents eee e ele eeeees Mae. Vf, Lining Grave, $... Lowering Device, $... . .-----see Her Birthplace olen. 2 YO. ~ Mees, Pagecs Gate Outlay for Shipping Charges. .....-.+-+-]Je-+> ass Moto: ies rig 7m » . Cler Wee Si : .O int $i. Res hee net Motor) Remains to...++++++ Tieveseeeeen eee eees ee Batre \ricyots : PRS +, ei, : Size of Casket* 5S: clavetelon 5 MLE ane iu 'eesdbeest diet — pa ael plane suit a Teer ai isa Coke and Weenies , Telegr., Phone, Cable or Radio Charges..... . -+++--2a Manufactured by: :: -204..%.D.ee eee ee ees My eee t Cah AGvaRCOd« «z.< sss sic ws bbc es cedewes cane e sores oa Out ertaker’s Charges......-. J---+++> oe Interment at.. L008, . J tategin vveereene ee sek ee Lat No..ssscesessssssesf se ee Gaye Ss ede cout Total Footing of Bill....2-+sesesee eee $2: 2 aL €.s IER ce ET g's ru, pote aims DUC tads Spin abt sia rasa viece= Ohh Section No...--eeeeeee. : py (fendi ; ‘(ous Balance.. -: SC a res $ Scale aca ees ase Diagram of Lot or Vault Owner. ..----++++asedees Entered into Ledger, page. ...or below. — ---4 WAsA Dalanan ate ‘4 * ‘ 2 . Trot ~ Amount Paid . Ralance