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Collection: Original Records > Death Records

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

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aes RECORD OF FUNERAL Total No. /3.2...... Yearly No.......00e0es Dee ce 19 Name of Deceased. . Voted. 411, Omer Eien Pele ee ne eee hie Wie pa Ulcath ia Gaia We os nlaie 4 ovg scale eeees vise on i , (What Race) a4 Complete Funeral.......-pee erie Oe Sib. eee « a Add 202, Mogd. A Pe ale Came . : ain f, Casket... a errr een . AA8 18 Order given by.....0M47T%. s Sin viene no oS a SN bielaib seis» & Patal Vault or Box 5. 2. dec anets soso cess, ‘ (or informant) . (State Kind) How Secured.:... Paons alas MEM weoeimacn teem Mate oe Embalming Body ... Ean! Soin Boer ite Occupation...... ee ong: tera net) Barber, $.... 224.4% Hair Dressing, $....]].... vs (Social Security Number) / Dressing Body, $..... Underwear,$.../]....Name of Employer.... Teen ee eee c eect eee eee e ene nees Pa EEN ss te le tea oes se ee fe a ** "tate Kind and Color) NG goer Me sis o> seein ede k Hb & & e'nle ¢ bu arm's « sotteetemiarin bh Slippers, ae oe Hose, Hs oes pepe plored . Go ie Ped Date of Death.. 7002.49." 000.. 3/3", G7r, _ . Folding Chairs, $.... Tarpaulin, $.... oe Selene 2 (Date) (Hour) . Candelabrum, $.... Candles; Soin ie os oh alos e-e beDate of Birth. Chew.. .08 2.0.00.. PB. cht Door Spray, $..... Gloves, $.... Ay Boece at a Mee $0 e, f? Funeral Car, $.... Ambulance, $.2% $.°../1... 218 hits a ae (Years) °” "* (Months) * (Days) Limousines to Cemetery... oh re Bucy canta es Date of Funeral //2-¥, ./.2" Miadrerdeg, -..9%.40 m. Autos to R. R. Station.. eee Shem * (Date) (Day of Week) ~ Glour) . . Getting Remains from...........e.. ee. ee Taking Remains to.......cceeeeeeeeede eee eee bs Trip to Coroner’s Inquest ..........11.... id Prenvering BOL tO. cos ladies vis s bdoDeliver Flowers to.....cccccececsececeecll. cc.. a Removal Charges.......ccceee0eBirepe . . teos aeelel a Frocuring Burial Permit.. 0.2.65 0cesec< ees odes scenes hal (State Number and District) —LCertif.Copiesof Death CertificatesNo._____. . ... mS ok (State Physician’s or Coroner's ) Pall Bearer Service, $.. Use of Chapel,$... ].... See Personal Service. ....ccc ccc ccceccccsecectes ccces . Gross Total for Sales Tax........005. ae 2.).8¢ Uc ea ns ei! a ae Mee PACPOMATION 0c en 5d obs have cisew meee wchBeecs os ik Coty ..line Death Notices in... oy ne . Ree a Name of Father.. U/clhicrre “Cros Floren, ¢ Gtaitcwniepeay a ee las owers, $... Palms, $... Matting, $... ).... ties His Birthplace..... Art Daly sa bi Cas CUNO GR ea eae Rental of Tent, $..of Temporary Vault,$... . .... biel : a’ Opening of Grave or Tomb.. aioe men settee cede e sees. ates Maiden Name of Mother ae UAT cence cece Lining Grave, $.:-. Lowering Device, $...... a Her Birthplace...... Ur FAYE cen e ce cen. Outlay for Shipping Charges. ..: aA tedd a crehe'sifllstealane peoeE Bo . St} Remains to. Modisha,. Lf. Alle Clergyman,§.. . .Singers,$. Pichi: caaae hbase ag xe "350 LS. eA pe Mower } Tickets, , ee plane S€rvice,$...}].... sce Size of Casket eaaialoks a AiLerrn, OC orafirt Ossie SileS & 6068 a Tele Ph (@} * : gC ad le gr., Phone, Cable or Radio Charges....].... aes Manufactured by: ::; Gaeta cata -1G. ek Cash Advanced.. ....; ea 9 chtitiet ord ao. eae ceesiehtore Acti Interment at.. 77 hehe eee eee eevee ee a uaa pana in SRA tae Cg Lot No.. .00+seeeeeee le] Sates Tax socererececeeecceeeeecee eee ne, oe Ce. : Grave No....ccecsceuee Total Footing of Bile: .-.... te cee $ Pas MR é J i aa [SEE I eRe Boi nema TL . HN: ie Section No.......-; $ ED, Sos : PERE poe . Balance eee ee ew eee sees $ "se ee ee . : Diagram of Lot or Vault Owner. .....-..4.-Entered into Ledger, page.. . .or below. _