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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 ae Mace. . ate ees eee eee eae Name of 7M allied i ey ee Pte: eee , xX Married SCOTS HFC HSK CEH Ke eSEe seers ersees Dnusbena[ J witel_ Widow Residence. Anesd OM ee a, C 4 Charge ofLhe. eu Address. AFL.. Caregesen. Ake ei Se eee ene Order given by.....4 SE se) ph abians te eer) ‘ or intorm: How Secured.... Phere. Pe Te ee RA leary See eaalen rte " Occupation ......e eee eee eens (Social Security Number) <. Name of Employer....0-+e ees cece ere e reer e tees ew SUP AL A ee: BAN eg! Ore Seale a Ae, MONS OL Me SON ETC Ree le oie) 7 S.(e SY “Date of Birth. ud.. of . Pp cada I aie Peete te ue Yt a. (Years) _ (Months) (Days) © Date of Funeral. Ces, /2.. ee (Date) pw ote Ob w oes cece ee ote rwneoe ess ee a b. of Zity or County) (Years ene 4 etn pc A, Anass. Vobhag. I ee, th: Date: till NE (or Coroner) Fe, Corn tet ae i den Name of Mother XLudan ee . Autos to R. R. Station.... @ $ Complete Funeral Casket..¥. dawanwee. RO alu cca sient aa eis «Me ke Burial Vault or Box (Name of Embalmer) Barber, $..-.-...Hair Dressing, $ Dressing Body, $.....Underwear, $ Slippers, Givin ceca Hose, $ Folding Chairs, $.... Tarpaulin, $..... Candelabrum, $.... Candles, $...... Door Spray, $ anger ee ei Funeral Car, $....Ambulance, $....Limousines to Cemetery @ 9 .niassanwes. sc 00 0 we #6 0k 0 0) 8 imine 8's 60) © Pee ge Ce . ee Getting Remains from.....-seeeeeeeeees Taking Remains to Trip to Coroner’s Inquest Delivering Box to Deliver Flowers to Removal Charges. ....02ccseeccceeec eee Procuring Burial Permit........+:.+-(State Number and gale ___Certif. Copiesof Death CertificatesNo. ae (State Physician’s or Coroner's _ Pall Bearer Service, $.. Use of Chapel,$... IPEVSONAESCRUIOG irs dl oaisiaw Av 364 Fee oinehe meine © 60 6 le 6 6 0. @ be 6 06 10 6 0/0 © & O16 20 6) © &.0 0 9 80 0 @ 60 00 HS A 9 ere ae ee ee ee . ee 6 le erie: eh Ne OOS 6 0 O16 O © OG 0 6 6) 8 OMe oS [ees Gib ol OO 8 OS FOO Ww Fe 9-0) OOS 0) e 0 ATi fore ates 6 a 6 SO 0d © Oe S006 Om 6 Oi we a O05e O81e BO 0s S06 0 wm Oe wee eRe oe et Gross Total for Sales Tax. .....00c0200. ae ~ GAL ESOTOR LAO ie ons d disiae'dlaue's +09 soak oso lees re Jats Cremation ..line Death Notices in... Papers see weer ites owe Ae oilecia) oO: Ge Mik esc 6, ACRES. we OS 0.6.6 © silo) 6 Suara 6.0 ebe. ERS Ore Re © (Names of Newspapers Flowers, $... Palms, $ Matting, $ Rental of Tent, $..of Temporary Vault,$.. Opening of Grave or Tomb........--. Lining Grave, $... Lowering Device, $ Outlay for Shipping Charges. .......-. Clergyman, $¥.*° .Singers,$..Organist,$ re road . Tickets, Rad AeroTelegr., Phone, Cable or Radio Charges.... ORS ACV AMCOD hag sik oa. e wpe! sewn wae Sasol Out of town Undertaker’s Charges.....:. ec oe we ee AVLAULLTI ER, Pee ee etre rere ec . a eds ee ey