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Collection: Original Records > Death Records

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

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Lod RECORD OF FUNERAL Total No./5°7.....0Yearly No........0-Ses Date. (Uayape ae ee en Name of Deceased. Ukliwnn. ecrhe. ee Chern, se IRA eal oriole 6 slags ah Ga nse, . J0-) sp cates eb ola -Nas anes gp PUMREIN bg lS rsihe Bo Married Single 00 Widowed JX Divorced (What Race) Residence. aad, ; Of Ashe A eS 5 ol Ge Ee aa erent een Picea cote 1 Puente Say yi ZX. ~ OR suas levees s teed of Charge to:. K Goan OER so cask alnia ab sdawe. 5 ae Complete Funeral..... 20.02.00. eee ee Bi. wee. Address ul tom eh ar Sask Eh ae Peg wh elm SN: 5 MN, cave tae vlnulentl. hae. Order given by Zine i. Tarbrarcte cpr ere eree ss Burial Vault or Box .....000cceeee eee eeeee eee. (or informant) 7 (State Kind) How Secured. :... Chon. me ee RT a Embalming Body ... NI eae. ie eee RNC 2-25-5's 5-Sh vs oe wa at pe ecules «oats Barber, $. 00.6.. Hair Dressing, $....]].... (Social Security Number) . Dressing Body, $..... Underwear,$.... . .... Name of Employer.... Tete eee e eee e ete e eee tees: CG Oe PIG i ois wk hak ow a pane 4 see yo Seale aed pare (State Kind and Color) PGI 6 cin gta lhe 6 SORT by ia nnk Spline wk Vl RAN Gm ew me Slippers, $....... abe svc vioteclt A My as Ges Date of Death. H40v. 24". ./94!... 12,20 2 mm . Folding Chairs, $.... Tarpaulin, $.....]... (Date) (Hour) . Candelabrum, $.... Candles, $. ois eo les Date of Birth.W4... TRIP ove outy Lipa Save onlin 3 Door Spray,.$ 2.. 0.. Gloves, Se oo. estes sea Age F $7 Funeral Car, $.... Ambulance, $.....]}.... rapt atte Gao (Months) (Days) ay te a Limousines to Cemetery... OS. 8 hy Re Date of Funeral.~ Le ae tam. Spam / 2?"/7% . Autos to R. R. Station. ... eo aero ae na ah (ee) “i (Getting semaine TOM. 3. os cies Ces te ead ie dae os _ Services at: a, ap 1 Ye CON AUYT, . RMA oes Taking Remains to. ......scececeeeeees. e ceases Clergyman: : Stus. Mak Oo oe, Sera Trip to Coroner’s Inquest ........00-foo. eee. (Address) Deu Vering BOX GOs sc. <cokoe i ale sind ondiss weletue em Sioa ae Religion of the Deceased.. y......eeeeeeee serene. DGRVOR DE 1OWEES TO s5.5.5 5 55 os 6 spn si ele tigers ow efi. oo Birthol a Corr enreth a 7). a REMOVE OHATRORG ial Sees Soave eo cl eiale Mone ott elalecus'cec “aid g Procuring Burial Permit. ee nak nies ss ak nfs hes Peet tne Satay fii "ia "ais . Cerf Copiesot ee nee: See Place of Death. Covorky, : Mecyfirter, Purreda Nh ee eh ay ee -. Pall Bearer Service, $.. Use of Chapel, $... . .... Cause of Death: “egeveterny.. Zankome, ts Frageonal Service. ...seseeseeeecsee esses peeeeee, Contributory Causes. =e Aken Bins Bf ckcitiscplvon Susbavtere toate Uetetelect ics cite oes taeers: ana vis helms aeere Mase oe lauds Gross Total for Sales Tax........0005. Eee /. MD LOR LANG cc: ote slg eie laure ed dell eer ARIPES martes COSCON cals sik n tors eaiate Wb WE Es n ON ocd ani es . line Death Notices in... Papers.. ule. io Flowers, $... aa ; Matting, Se toeltesrc ie teers Rental of Tent, $..of Temporary Vault,$... . .... Opening of Grave or Tomb.........]).-.--Lining Grave, $... Lowering Device, $...]}.... fad. ...... Outlay for Shipping Charges. ......... ..05. Ship weer) Remains to.. torn hare, . Daaanmete. Ghd.. Clergyman, $ ne fe Singers,§ . =: Organise, § oe edeane +) ath Kn or Mont. } Tickets, , ree plane Service,$... ].... Size of Casket . ae os pu ce wet ee eee ees Telegr., Phone, Cable or Radio Charges....]... d. Manufactured by. : : oe OD stg PP Ca eee ep ——— Amba fs laos SPOTS © week ut of town Undertaker’s BS opens eos ts ba Interment at. Levers, slam Peremer..., fe OE eg Me. 2 agli sa Mes Beet Lat NO. ooadesessee Gt So pemsmpmemitomicn get) Mas Gate Rout cole le: -_. Total Footing of Bill.....-2ceeece eee. $l. 7.<2 8. MMS sicnle thle ea dia» Suled cele oe al sale oe see RTE Section No.. <..ees<ee: a E : =< — —— ance..cs. i502 SEBS. Diagram of Lot or Vault Owner. ..-----++eeeeeees Entered into Ledger, page... or below.