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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 FUNERAL BA tots Suan eet =! See of Date. ears ee Be Se ae ee ae nie Cole rey coe ast aA era PPM te Diyas IOI al CBusband[_]Wite[_]Widow Ol eee ay let biecnn ned Be W aplop ae eer a ope Complete Funeral......2220000 00000: $i}.. . RE ag Rel care ong RRS oo snbwaw w C oe ae Burial Vault or Box .......0c0e-eeeeelle eee. . (State Kind) Embalming Body .......ccccceeecceeele cee. (Name of Embalmer) Barber, $...... Hair Dressing, $..../}... Dressing Body,$..... Underwear,$.../]... Or EO a a sg ala ccddae eects aU ok oi neo (State Kind and Color) Slippers, $....... FORGO ec vnc. ee Folding Chairs, $.... Tarpaulin, $.....]/... Candelabrum, $.... Candles, $...... )... Door Spray, $..... Gloves, $......]/... Funeral Car, $.... Ambulance, $.....H... Limousines to Cemetery... CRY SaaS sapere ly . ea . Autos to R. R. Station. ... MG Signe hace Glatelesd hao oe Getting Remains from...........-]1... Taking Remains to........eeeeeeeeesllee eee Trip to Coroner’s Inquest .......... Delivering Box t0. os icc cowie cececevntahe,. % x Deliver Flowers to.....ccccscesccccececll... Birthplace Gort Mharrverruek: A 98 " wary _. Removal Charges.... a re ee ery at eel R na ae P Procuring Burial Permit.. . We Wosbied ‘uid biswiey’ WR is Ari ae ff eras focal abel elene aie) odevaiainl eee umber an ) a in the ae: (or U. S. or City or County) (Years) (Months) _—__Certif. Copiesof. ‘Death CettificatesNo as oats ¥ ta’ cian’s or Coroner’s Place of Death Motte het weeeee Pall Bearer Service, $.. Use of Chapel, $. ete ‘ Cause of D Personal Service..... pee demela ens ys alla tire aig COIR Ty eg he eh eek ee Cea 2 oe og, ge tle SE PEI ES es mete ems ee oh ee Gross Total for Sales Tax..........$ les RU TO AMIS, fa seis aNd) ooh cdi, Set Certifying Physician.</. far 7 cf: [Lamborn iene V-772, x. £ SR PMMRONED Siglo oh wis. bplbn ona c Gove) a cauee ou ae iis ABAtces : <, A. DOLE line Death Notices in... Papers.. .0.fs es. B Name of Father. 7. " Y O 4f eae eit Giisiea tice ttt Bites. Flowers, $... Palms, $... oe Matting, Wis oe Me aves -His Birthplace. .. Anasd ye U : Rental of Tent, $..of Temporary Vault,$... . ... te ‘ Opening of Grave or Tomb.........]]... me 7 Name of marion pea fectit ie ‘. Lining Grave, $... Lowering Device, $... ]... rE i . 22 AGRE.. adhe Te Sekt meen a Outlay for Shipping Charges.........]]... ieee Skee wgye 5-3 Clergyman, PBs wisiys Singers,$..Organist,$...}}... he < : — Mone. } Tickets, $.... Acro Service,$...}]... Telegr., Phone, Cable or Radio Charges....]]... -Cash Serenced Seale SHIRES cain ic-2 we eels apcbw sl ce Hol eres