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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 I —_— “Occupation ......6ce ee eee eet << 6 616.6. Ce 64 616 610 © 60) 0 a OD 6 0 HE 6.0 Oe oO Bie 618 2 810% (b: COSC COS Ee BECO eC Coe ete sees eonees Serres eeere Pe re te Sree soc HER Sat roner) es er LY, Physician eee ee eee ee eee eee ee ee ee Me ee a ee ce eee ee eee eee e eee eee eeeees eee eree eee eee ese eee eee eeeeans ee eesweeesrere sees ee ee eeeene eer eee ee ee eee wee (Social Security Number) eeeee eeeee -¢ . Removal Charges ae ey eee ee . Autos to R. R. Station (CBusband[]witel }Widow eeeees piece Lele Ser See 6 ois 6 wise wae & A Oe SS LES) Cee) eb 9S 08 O.e Hee © Shee ae ee F (State Kind) Embalming Body .......+++++> (Name of Embalmer) Hair Dressing, $.... Underwear, $ Hose, $ Tarpaulin, $ Shippers, $ Folding Chairs, $.... Candelabrum, $ Candles, $ Door Spray, $ Gloves, $. Funeral Car, $7 ’?.Ambulance, $ Limousines to Cemetery @ $ ee we ee tN Da ew wee new eene Getting Remains from Taking Remains to Trip to Coroner’s Inquest Delivering Box to Deliver Flowers to ee ee ee ee re ee ee ee ee Procuring Burial Permit (State Number and District) _—Certif. Copiesof Death: CertificatesNo. (State Physician’s or Coroner's . Pall Bearer Service, $.<. Use of Chapel, $ Personal Servite: ces ps cee s cygees oe bee elas AM ee ee er ne i a Flowers, $... Pim so Matting, Beiicelet Rental of Tent, $..of Temporary Vault,$.. Opening of Grave or Tomb......... Lining Grave, $ Lowering Device, $ Outlay for Shipping Charges. ........ Clergyman,$ Singers,$..Organist,$ Railroad . ‘ or Motor } Tickets, $ — Service,$ Telegr., Phone, Cable or Radio Charges Cash Advanced eee. DOIDIECIS, D.. Vi RAGADISL,D..Out of town Undertaker’s Charges...... Sales Tax ee ie hee, Si _. Total Footing of Bill........... $. . ..Z ee ce eee wae Sa wi Ne Cid windin eo $i. . Balance....... $i. . Entered into Ledger, page.. .. or below. “7 “Amount Paid [3 @ipsencs . = Date . . Amount Paint 4