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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
Total No. L7I eee Yearly No.....
Pe ee ee ee er as
eee eee eee aA se ee eee ewer eee eee eoeese
"Name of end Woven. Canter ge te ete, satel I ye laiee ss aly ee eae Si
Cole ee ee ea a
Ce
ee
eee eee eee eo eee reese eHreeeeeereeeeeeeese
Oe
eee eeeeeesreseeoeesresr esses eseeeeeesesrsene
Physician Masold.<, Stare. Ind)..
(or Coroner)
. Autos to R. R. Station.... @ $
ee
(Name of Embalmer)
Hair Dressing, $
Underwear, $
Slippers, $
Folding Chairs, $....
Candelabrum, $
Door Spray, $
Funeral Car, $
Limousines to Cemetery
eee eee wee ee eo etLUDE, De ee eee eee eee ne
ee ee ooo eNVAMULED, De eee eee eens
ee eer eeee
Ambulance, $
@ $
wee oe ey De we wee em eeane
ee er
Getting Remains from
Taking Remains to
Trip to Coroner’s Inquest
Delivering Box to
Deliver Flowers to
Removal Charges
ee
ed
ee ea
cs
Ce
Procuring Burial Permit
‘ " (State Number and District)
_—Certif.Copiesof Death CertificatesNo
(State Physician’s or Coroner's )
"a Bearer Service, $.. Use of Chapel, $
Personal Service
ener
ed
CC ee ey
a er ee
ee
ed
ee eeee eee eens
Ce rT
Flowers, $...Palms, $. Matting, $
Rental of Tent, $..of Temporary Vault,$..
Opening of Grave or Tomb..... HEE Ae
Lining Grave, $ Lowering Device, $
Outlay for Shipping Charges. ........
Clergyman,$ ..-Organist,$
aMoad } Tickets, $ Ae, Service,
eee e eWILIECI DD.. -VIiPRGIISL,D...
or Motor iad
Telegr., Phone, Cable or Radio Charges
Cash Advanced :
Se ee
ee ee eees Nlane MUL VILE DD..
ee
es
Oe SD C8 FO GND O02 w Die 2 6 6:0 © 6 08 6 0.b 0 6 608 6 U6 HOD 80 ©
OS SS 0c Sle Oe CO CO's BO © 6 016 8 O10 @ 0 6 aw eS BIS © One ee ee es
Corer sr eee ees erereeseceeeceseeecrees
Stee we esece sesso ees esas
PH SSHC CECH C CHES Cow eercesecorececoreceecs
Cems eee eee eens
ee a
ee
a ae
see eens
en ed