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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
OGRE ee. Date " er: eee
lan Gees Ss oa ee apa ae soak sap esteeine,
Dy See e e eeee e a le a oie aed array er (csc ees tener ee rnceteertees
Complete Funeral ... 2.. 2+ +++ sees eee Bisse wks ,
got re Casket.... NM ILO. ccc ees he LSE
Order given by. A Kkharr. tal Aedes Soa rial VBE BEE oo aa ok is ate ee ee Be oe ee eles
rs (or informant i (State Kind)
Vow Sacred.. 3. VE: sch eo cis gees ses Embalming Body ... ge meecae nears +e .
PORCHDRGON. fens wee es ee 4 bk rs Casinos «alee 4 Barber, $...-..+.+ Hair Dressing, $..... ].-.--we (Social Security Number) . Dressing Body, $....-Underwear, $.... ]....
Name of Employer..-...---.+++seeeseeseee essere Sanhe OUR PONE Fo Sc ele og 5 tee St ene oe Se ee a amin aie :
Kos G (State Kind and Color)
AAP CRS HN rake ior test lane ocabetote Seth shacniale late ie. teen tense eeee ees Slippers, $.....-00Hose, $ py ee a ke :
Dots ot Dent Mawr. 151. SPE.. [1,8 Ger . Folding Chairs, $....Tarpaulin, $.....])..--. }
(Date) (Hour) . Candelabrum, $.... ANGIE Sos Guisak eS alte ees dee :
Date of Birth.. /w™. fy Seer Lil 2 a ne Door Spray, $.:.... re oi. ca. ode ae we .
3 Funeral Car, $.... Ambulance, $...-.. }...-. 2
Pe He? es ad 7 "TTS" Gitonthsy 7" ( Gs Vly ey Limousines to Cemetery... age ok . ee ads
Date of Funeral.. argagee eee igang ME Autos to’R. R. Station. ... Ge wile aca canes ;
we . ae ees tate Getting Remains from. .. 60. Joc ce eee es whee i
_ Services at: AOA. 1. Weavn , Chapask teees ee eeee Talking Remains to.. ok cso ns vv sieinie ss oa fle oe ars ;
Clergyman : din. Prlak. OGL......:,,.. Trip to Coroner’s Inquest ....++++ ++ sees -ffee eee. ‘
ri : (Address) Dabicerin Oe C0 8 os oii ss nc ene ne alee ee ote .
Religion of the Deceased. er a a bette eee eens “Deliver Flowers to.. vinsa so encietocada cf coe s ed
Birthpl 4 at ae =. Ce Ws eve Sana Removal Charges.. 0. ccs seer ices esos set cles cea ce :
ge i Procuring Burial Permits.. +ssgsseaeeopeoceess .
“see in the State. . cts Bo gh gh ae * Cutonths) . ——Certif.Copiesof Death CertificatesNo. a en eee :
Place of Death. : : Users, me Aa AGES Sistine se oe Pall Bearer Service, $.. Use of Chapel, $... ].... :
Ceci sl Death yl Sh 525-0 SORT Ape. ___. Personal Service......++.++++. greets eee ‘
"Contributory Causes.. occ sc cc ccs ce ce pec endncceence cape ces eegenseteinagecceceeewca sn enee sity eee cae ef soak ss ;
Blais loa nd Ve eRe fear! tity Bi: Gross Total for Sales Tax.:..-0+-002e0004 $. ...9.]2
ara { Cantley, FOF Pata ores . ain as © Gssiwsne Se tle oS oe apa cases ;
Certifying Physician. AY. Al . 42, Gaius mn aes oe as Coaidion Pome atl ec Vin sa wits iced oe ares tie 44 aie
His Address: : At hadd. Ve Fee ONS inte ee seme ..line Death Notices in... Papers . .. 0.6 fees sees :
; . My Go SSS 1a alma are sale baseiy! Seis lenient pg a oat ols t Nod os rata en te .
mgt of Father. } g ‘ Lethegp VO tA, BAe ails ole dle cecal Flowers, $... Palm sf ee Matting. Pathe) Unie
‘His Birthplace.. .... [P¢QelOtre. 0 eee ees Senki sats Rental of Tent, $..of Temporary Vault,$..]. .... ‘
: 5s Pk Qoeke Opening of Grave or Tomb.......... J eee eee .
Maiden Name of Mother& 4 Ard ee: voeesgee™***") Lining Grave, $... Lowering Device, $... }..--:
Her Birthplace...... Srghec®. santa (er ae a Outlay for Shipping Charges. .......6-[[eee+e ehMotor’ Panties. — Clergyman, $9. .Singers,$ 7 -Organist,$... ]..-. FI.
_ Ship years we 777] Rawroed \ Tickets, $.... Fans Rervice,S... <f--+-2Size of Casket . .°.5.<4% mee Sei ORES 0 at dagen Telegr., Phone, Cable or Radio Charges..... ....1.
Manufactured ee ag Bi Mig Biol dgoe nsetory ee ae ‘Sepa bipdeaseoe ates SA eer . Cancion
ut of town Undertaker’s OBa ais Selerel~ plgalene alae #3
Interinent at.. 060.0. Fa.eoeeeeeeae Fo a aaa Sig Mae, Fe SI RS
aon ego tet Rae sears ergs, Cm
Bideke. ee ere ae Total Footing of Bill.......eeee eee. gi 2.3
‘ : ; oH Less... EO teen a Spa Mer sehens ater ata hares ateiel auelee wisi $ etal aie aie
Section No.....-. Sere ; Si = S cannes
c— . eH. 8s, teeny ease
vuatbicetepemeas Owner. ...-+-+--seeeeee Entered into Ledger, page.:..or below. ‘aie