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Collection: Original Records > Death Records

Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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At RECORD OF FUNERAL Total No.7 8.0.. .ceceee ot Bag Moa Tye kas Date.. AV.. re UA oP Name of Deceased..<77744,..4 Pic cles oe Pas yw phd Sat a vse a manta & Married CI Singie 0 Widowed DO Divorced (What Race) Residence. Baath x Uke Gite Cg bd > aula de-ick “BER MMUS IE. vn Fines Zeta aoe : Fit ae tga ager Eg sckn ds OBEN ogee la oie Charge to: 287ve. I. SIAT OKA Lecce scene ‘ka a $ 998 he Complete Funeral ..... 02.0.0. e ee eee Bee. ren SOs ae 771. archatt A el eee keira COMI OnS e Ae ee cn Caiats O Reen ee ee 4/2 Order given by.... forre.. SI er ee ee Burial Vault orcBox .... ce cece cece ee eees /.24.3$ (or informant) (State Kind) How Secured. :... THAR.. eeecseceeeevsseeeeeeees Embalming Body 2.0.0.2. aeeesetee Pees. Occupation ... £4™ ber 4A.. O. Offre Ue Barber, $...... Hair Dressing, $..... . ... : ial Security Number) . Dressing Body,$.....Underwear, $.... /... Name of Employer.. .% A Boveri ee dl we teh So es oleae ~~ 4 (State Kind an lor . Address ..... eC “ A. Jot, Ofer: see eeeeeeeees Slippers, $....... Pose, Sa ee Date of Death.. A/. 27". 02.. LP¢1,..7 47,. Folding Chairs, $.... Tarpaulin, $.....]... ‘ (Date) (Hour) . Candelabrum, $.... Candles; Sic. suls 6 isthe oda we Date of Birth. (AEE. Ae / g 2 g Ait ie rina Spe ae Door Spray, $..... Gloves, $. 56.0602 cle. Age 43 é 2o Funeral Car, $.... Ambulance, $...../. .... Bete, est (Years) °°" ""* (onthe) "4 (Days) Limousines to Cemetery.. . Ce. ances He ss Date of Funeral. Ox/3.2.Panadeg ooo.. 2,74 Autos to R. R. Station.... Bhi Tide AN _— iepulsheiie ee Getting Remains from.... de islanerw Sod aewh eaten AR ID tak Services at 2 OGAAT. 2. LV AGOIM. . OMe eee eee Taking Remains to..... FOO. rie Bs one ‘ : ; eS Clergyman. 4007 Sond. VA4 hale, Trip to Coroner s Inquest .. *. RES etic Me: . . RPM a i (Address) Delivering Box to.....cceeccecceeecsecll. cee. Religion of the Deceased. . 7th.. ceceeeeees Deliver Flowers to.....ccccececsesececell sce.. Birthplace ... Anand. Vi ‘J? i apes Hemme . Removal Charges........0cceeeee eee ieee: : : ‘ Procuring Burial Permit. ld ieee tre pena so Br <= Resided in the State. . mae ay ‘Countyy ° “(Years)” (Months) . _Certif.Copiesof Death CertificatesNo. ———. }---+ Place of Death 32%. Movehott. At. Hands, Ue 2th ... Pall Bearer Service,$.. Use of Chapel, $... . .... Cause of Death Cractneriien VE Roane Wirlealal,¢. Personal STINE foe Ls ame sce 2a ed ae Cs eae ee . ie arn Contributory Causes. Corezorerence: , gf. SAP bert naan Berta Ieee IMD tae: ied Si a . A a 2 > op, sal Gross Total for Sales Tax.......... Be unas 7. ec A ts ARR ne here eane, See Cremation.... ie sieisia cigs GAT ao atten eke: Ae seer eee cesoccce sie sepa ana ae ee Flowers, $ 15% Palms, Seo. Matting, $...]. ..42. Rental of Tent, $..of Temporary Vault,$... . .... Opening of Grave or Tomb........./).... Lining Grave, $... Lowering Device, $...]}.... Outlay for Shipping Charges. ........]].... Clergyman,$<.~. .Singers,$¥:°".Organist,$... 2 AG, oe Motar }Tickets, $...2. A Service,$... }..-. Telegr., Phone, Cable or Radio Charges..... . .... Cash Advanced ooo bo ia Dee ok wee ecced ccfete ss die ee . a ae ay a es . ee ee Fee _ Diagram of Lot or Vault Owner. ....-....---f Entered into . ' ' i] ae . 1 a