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Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)
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Page: of 324
RECORD OF FUNERAL
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: a9 ; (Address)
Religi zion of the Deceased. . 72.0770 1
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Cnigterntle, at ( Months)
. Opening of Grave or Tomb
. Lining Grave, $
Complete Funeral
Casket... TD, GAIA occ cc cetcnses
Burial Vault or Box Pr ee ee
(Name of Embalmer)
Dressing, $
Underwear, $
Hair
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ee ay Hose, $
"Parpaulin, 9. sy sis s
Candles, $
Slippers, $
Folding Chairs, $
Candelabrum, $
Door Spray, $.:.... Gloves, $......
Funeral Car, $ Ambulance, $
Limousines to Cemetery
Autos to R. R. Station
Getting Remains from
Taking Remains to
Trip to Coroner’s Inquest
Debvering BOX. to x s'5cd.« 06 Geis vcd s soe tiie
Deliver Flowers to
Removal Charges
Procuring Burial Permit...........
(State Number and District)
—Certif.Copiesof Death GertificatesNo
(State Physician’s or Coroner's )
Pall Bearer Service, $.. Use of Chapel, $
Personal Service ee ed
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Gross Total for Sales Tax.0.......0-$
Outlay for Lot
Cremation
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(Names of News:
Flowers, $...Palms, $. Matting, $
. .of Temporary Vault,$..
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Rental of Tent, $.
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Lowering Device, $...
Outlay for Shipping Charges. ........
Clergyman,$ Singers,$¥.~. Organist, $
Railroa
or Morr }Tickets, $ = Service,$
Telegr., Phone, Cable or Radio Charges
Cash Advanced
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