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Collection: Original Records > Death Records

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

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were eee reer ce ne reer sesso eereseseeerseeeoeoseeeseeseeeseeeee ees RECORD OF FUNERAL Resided in the State. 49. ae es Fpl sm ng. Man tees A ‘ (or U. City or County) (Years) (Months) Place of Death. %.%.9. Pc ity : Lar, C ae es aes acd er a Certifying Physicianod* O. lang. Sas sara His Address. SLrasA = Votes. ia ea anaes ha Name of cme ees . MS St pits adaiecuss Hives Perea His Birthplace ong. Me: Maiden Name of Moth Piaranerue. Ahm seat Her Birthplace TE Yancey . Commune, . vs ie woter} Remains to... Ra sams pee Se f” Size of Casket 2464. Cen, Corrmame Ket. thetrves tate Color and ber) Manufactured by....Mae. he eo ee Interment ate. WC St. ce. { Caaeeiens Lot No....... fs craigs Grave No......56-:. Section No.......--. a al Diagram of Lot or ne Owners socal a we sis wes (State Number and District) ___Certif.Copiesof Death CertificatesNo. (State Physician’s or Coroner's. Pall Bearer Service, $.. Use of Chapel, $.:.. er Gross Total for Sales Tax......0.0e00$ CFG TOR ING 5 6 a oy nes PEAR veg te AES OATSTTAe Lat) 2S, SRD Seg OO Ce nee ne ber, DI a Soe te ee ee A SIS eae le piticordid cian ily -Flowers, $... Palms, $2.. Matting, $... Rental of Tent, $..of. Temporary Vault,$.. Opening of Grave or Tomb......... Lining Grave, $... Lowering Device, $... Outlay for Shipping Charges. ........ Clergyman,$¥.¢? .Singers,$25‘ Organist,$2.°°. iroad \hickets, eee Awe” Service,$ Ve. Telegr., Phone, Cable or Radio Charges.... Cash AGVANCED, foe 20s os hee ealcie's a caw aleece Out of town Undertaker’s Charges...... a Mie ia Chee Total Footing of Bill........... $ REAR peri eis see een itera dg he igang be penis lays 2 $ Total No. ee ee A: i iret So ten aiid eae Date. Aare pe LS suolbltie, evita Name of Deceased.74 4 A24.. a age Pe ae eg SN oe Oe cf NUL svg as simile ola wiel's che HAUbN ait danse wine's vitae wevelals Rl Widowed (0 Divorced (What Race) Residence. Bends Sra tee Wee eae et Sh toes cyt vere we pee eee C)tusband[ JWitel ]Widow t Bay ice pela oa ee <= OR. sity Baa sivsme see of Change We. tee Poet. ce bv Se kacet, Address. ... cen, Somer RP tie Uiea's mee ee cay fo nee tee am Ra Mes ; Casket..¥.. Megara.. maeprerece: h Order given by.... lors. MONA.. te ee Burial Vault on-Bex ...-.---ccceeeeeee eres LAS (or informant) c (State Kind) How Secured.... , Ga i ees eR SSE pea Embalming Body ...00-05. css se. cesses fe cece. ‘ x4 os (Name of Embalmer) Occupation.... Vie, BE eae Barber, $....+.. Hair Dressing, $..~.. }..-. (Social Security Number) . Dressing Body,$.....Underwear, $4¢2mgb. 2.. Name of Employer.... PMT UT wen e neces yeas Aiele + er Suit or Dress if = ute eee ters ee Ae ; a oh Fae Address .... C0. LM, 1, Marr. [Saeed -++*. Slippers, $...50.. eine, 3. nt RPS, egy Mea JA Date of Death. Mer, SLL GY.. U9 Folding Chairs, $.... Tarpaulin, $..... }... (Date) (Hour) . Candelabrum, $.... CanglesyS (5 eos = apie. e Date of Birth. ie ae le. Sate re g. iat Ts MUR el Door Spray, $..... (IOVES, Oo ibcw wa) pes «feces Age Zz y 2 ae Funeral Car, $....Ambulance, $..... }... et ly ee es Can hot (ay) tt Limousines to Cemetery... @$......]).-0e. Date of Wunchal ACK «0. scans s ag, eh m. Autos to R. R. Station.... Ce See ee See ; (Dem) say ot Dees Giaw) Getting Remains from........eeeee effec eee Services at. Airgun. 1, Ulnaaren, Arasreh, seneee Paling Remains to. 2.. ie eke eke ee soap eda Clormierba ss ced. oa. Fa boro e ww a egg es Re ceo 3 Trip to Coroner’s Inquest ...-.+-+++++e++sions eee (Address) Helvernne BOS 10.6 so. + cease adage shes Me nil y EelsReligion of the Deceased cab 6 O16 #66. Ole we ww U0 Oe Ce SAS 6 © Cee @ Deliver Flowers to fms Oey, haem. eer Ree Hy mar eeeeree pl . viciapiae AG Cua teal. Caunugtl cote Bais! Hemet. son. gate en Procuring Burial Permit.. :. 05 ..052 0.56 Mb sss see ee