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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 Total No.4 é is ere ee Yearly Now.. cc. ckecdeeeees Date. Cire, ots on, g eee aul Name of Deceased. . dh lay, Sk Ne EE eee re DO Married Single (1) Widowed D Divorced (What Race) Residence: . . Anasd .: Va eat a Sok xia edls.evn Guides a nah « Sole rig: sacle eco aa oo eee 8 = ( . OB ocnas) ences scrads of Charge to:. €LR.. 41 URKAMYNGIS ieee eles Address, ...7uphte ee OSM G8 ipinkeosthe ar pang . REN a oe 1, Casket.... a 7 £GZ Order given by.c... Af0 rte. oc cos Burial Vault or Box ......-.cccceceeecllecee ee. (or informant) 1 "*"" "(State Kind) How Secured SERED ee ews 2 ‘ € : ha dl ach wae eees E mbalming Body tenes (Name ot Exbalme:) esa a el eier sia, © Sh = Oceupation....... Ee Ws Cre ee SRR Mera em Barber, $2. 6. es Hair Dressing, $.. . Bin ple, bei (Social Security Number) . Dressing Body,$..... Underwear,$.... /... Name of Employer.... ce. cececseccsccsevcsscteces Beit or De eek Ske ek —_—— (State Kind and so AddreSS . 0. . +0 0esese neces, Mantas siding alow sata nae « Slippers, $....... (a eee Sane Date of Death LON. z ao RET ee MEN es a Folding Chairs, $.... Tarpaulin, $0000.00. fc os. Date) (Hour) . Candelabrum, $.... Candles, $... pee Cee ee Date of Birth. C{yfe/..0./.".... CET Sins Door Spray, $.:.... Gloves, $. .o2.958..]... 2 SY & Funeral Car, $/.9. 7.. Ambulance, $.75 eee ae ara a PA AY "Ways °""” ” ". Limousines to liege saan ree Date of Funeral. 727.2% 8° /77//. 0000.. m. Autos to R. R. Station. ... Sd Sepa Mele en (Date) (Day of Week) (Hour) Getting Remains from...........H.... Taking Remains to. .......cceceeeeeclleceeeee Trip to Coroner’s Inquest ..........H].... ini Delivering Bott0. oo. eevee sie ceve ees cht oe. oo = Deliver Flowers t0......ccscccescsecsedl.... Birthplace ..., Charter.. Shea! Removal Charges....-....0ceeeceeeeeelle woe. i : 22 Procuring Burial Permit. . silk iat ag Gee Fe ee ale Gans. HELL = exit Comat a CertificatesNo.— a ta’ cian’s or Coroner's Place of Death ¥cohums, . heart. URANO. . AVeyes pall Bearer Service, $.. Use of i Chapel, as See wy Cesuiell Death: Cake. Beehirh. od eeeececes Personal Service.......3 907 ....H.. ag Comb eony Circa ir i he el Me sleet hie 8 LL a ees Wns 3 pike ten apres \ eiiben sae). gia! Ce teams ack ath Ean Gross Total for Sales Tax......5...0. $i}.. ee Outlay for Lot...1. CAA. ieee fakek . apes 0. Certifying Senne (hamnad, 1 eemcernghre Coraraer ha Be Se tie nce nce umes) CORBIS His Address. ...0.Seeae. PE occ ene ec ees -line Death Notices in.. . Papers .... .... Boies Msinig. ele be on GR Nandi ee eR IEE! Coe Name of Father.. . eee 1 ie aa, Soma Wires 5 ee ea Mat: aT, ed pie His Birthplace....... Migs wr dees aves aes Le Rental of Tent,-$. of Temporary Vault,$... . .... = . . Opening of Grave or Temb.7. 24/. U.... . .. a0 $ Maiden Name of Mother.. . ! Pe ant ak Lining Grave, $:... Lowering Devi, $.. 1.. Her Birthplace adis'ie Soesale cue REM Susie ig ale arales Sal ewe eeee Leu Outlay for Shipping Charges. ........]].... Clergyman,$... .Singers,$..Organist,$...]. .... R to Mowe. z Sree, abbey.. P : 4 ? Shp. } Remains 6 “y Railroad \rickets, $.... Acro Service,$... ).... Size of Casket......7 os wd nes COCs Telegr., Phone, Gableor-Radie-Charges-.... . ..: of. Manufactured i ras ne dota ie eee Cash Advanced... 2.00.0.. cee cece cee cee fees cee Out of town Undertgker’s Charges....... l... . Interment at. Cod scion janes tga tbe a eee WO ells ene ‘ Lae cv ia : (eek Geen een acer, Grave No.....02.: ++.. Total Footing of Bil.. 2.0.. ..0.00 0.. $}-¢ 2.,/. Ee Ae dectien Neo ae Ree ee reat thn se R ee a & ore Mies yck. Soa we rer oe ; Balance......., oe Diagram of Lot or Vault . OWNET. 2.2.2.2, 2005 Sess Entered into Ledger, page.. . . .or below.