Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 324

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