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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
Peewee ewe eee eee eee ee « LIAM. ane He ewe eee eres eeesteee
ele) p 800 6 6 ae Oe Bene 6. 16lele Cee 6616-4 © 6b © Ob Sid) ace. 0 8 00.8 0% © CL HOE Oe 6 & O56 ©, Ole) 8 S19 OFLSUE © O06 6 06 8 dee O-6.0 6 8: 88) 918 610
{3 Married CO Single (CO Widowed D Divorced (What Race)
‘Residence Anabs ! We hes Ly Pi ANE eo Ren Piers aggregate
Charge to:. 4. 9. Mattoon et aa aE a ; 7
Cagiey Maghoerry A ness Complete os Sener ees Paiiee ae. * mea i i
Address, . Ory V4 ill BAS 4 Sao en ee ja iy ake
COPE BORO Ss eas. Eg wees co soe Kas ohne Soe kas Burial Vault or Box. bd .cc gar cmtawie.w OSes lence ears “ie
. (or informant) (State Kind)
How Secured.:... G ‘ Foon. Cs cos ccs Said E> Embalming Body ... PR oe ame a be a .
Ocecupation....... nga 1: eaten Sa © Sa Earp TEE, Bs) Fs aeige Hair Dressing, $..... . .... 4
(Social Security Number) . Dressing Body, $..... Underwear,$...]. .... e
. Name of Employer.... fn 89 <p nine Afomenge alee Aor, Mle BARS OF ANIONS hs aicia nin ons ot ae gigeiee 6 An «08 ab ee ahaa me a
om (State Kind and Color)
(Address: 4) veislene es 0 oe Slippers, $....... a Be oc ed aa Bi
Date of Death. 4oppl..08 0". LIU, oon Folding Chairs, $.... Tarpaulin, $..--.--. ...-us
(Date) 7 (Hour) . Candelabrum, $.... Candles; '$ oe: 2s cose Be
Date of Birth. Blifet Le see A: Peed eral Door Spray, $.:.... Gloves, $...2eccece[eeseeea
Age Fal ces Ze Funeral Car, $.... Ambulance, $:.. 05. 6-]. cee ie
a (Yeap) """” ””” (atontis) "*"" "” aysy """" ""” ". Limousines to Cemetery...@$....-+.fe.. fe
Date of Funeral Lye 8.7, dalurdey o.oo ccesees m. Autos to R. R. Station. ... ID Po sins en ch eae ws
te) (Her of Weel) a Cieny Getting Remains from.........0----fleeee eee a
Services at: x“avgrer.Y. Ucar dal.or . a Taking Remains to.. 5.0.. 0s. ccessnccesvuliessasghes
g
Clergyman: : Wes SPT ate ihe A Trip to Coroner’s Inquest ....6.+sseeeeedicseees i
att a (Address) Delivering BOs tO. ce sc cag Ne wis once b eisai Be. ose yee +
Religion of the Deceased. .... 77.0.. see seeeeeeeeeees Deliver Flowers t0....cccecsescessseccecieccece ees
Birthplace . PF a lente 4 aoe AE TA ION os os so dsinne eo eno ew YAH Rabe 9
Procuring Burial Permit. fscee feito “ead bbls’ OW ae
; ;
‘um! an ict)
Resided in the State.. fom ce Gout (Years) (Months) . _Certif.Copiesof Death CertificatesNo. ———]-+ +f
ician’s or Coroner's )
Place of Death: Ahi.. PATI eee Pall Bearer Service,$.. Use of Chane, $. .\.1}..£:0. a
Cause of Death Corrbrl AW eenaradvacgt Personal Service.. ..00.+.eeeeeesereesvenfeceress ts
Gross Total for Sales Tax........05. Sh i 2.\.6
Outlay for Lot..%. ee: yaa An aie toe 390
ALEAGRION (oohagislrcl bs 6 oases’ cease ihe oa alee Thee chee be
..line Death Noticesin... PADOES ©. oc kcclacs in
ean ee “atic i tideateotgg CU tttttrclescccede
Flowers, $... Palms, $ 3 rae Matting, Sy. tire acres 4s,
Rental of Tent, $..of Temporary Vault,$..}. .... ihe
Opening of Grave or Tomb.......... ).-.-5-x
ee eas ene . “**"! Lining Grave, $... Lowering Device, $... }.... os
Cn hace = Aes Outlay for Shipping Charges. ......... [..o an
' as Clergyman, $0. ‘*.Singers,$..Organist,$... . ... “. .0,
Motor} Remains to...., Figs a albig toatl ee Se © libre Si aN oh Railroad u$ , mi . .
w ie { ? bn or Motor { Lickets, $.... plane Service,$... }.-.-++si
Bim ot aR. 8. Arrears ee ae eay ct bhe pian ale Telegr., Phone, Cable or Radio Charges..... . ..--. t
Manufactured by.:::. af we ke : e Seis ctahive a siausepio ate een eset Caaht Advanced). 0.. 6.. cee ess dienes bens -flemiew +e .
\ Out of town Undertaker’s Charges....... . :-..-let eS ge. fe a se aes le
, ES acres Callas poe Bo Ue he é
A Grave No...sseeeeeeees Total Footing of Bill. -.......0.008. si4. 2. 7. .<
CERRO ar uit Spates Aion 6 uiicaces pinve wiutdin elirw a 3 Seat AEE One cod ook ‘
Section No.. 2.. 0.0-s0% ++ peat sd :E — Nan NG arene oo ts Se hin alee a
Diagram of Lot or Vault Owner. ...-.000-cues Entered into Ledger, page.. °°.or below.