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Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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Page: of 324

“Potal No. /2.6...ccaces
Name of Deceased.
Wise eiee yoo
dk
re ALbrAge. : AES SO
DD Married
Residence. hnadtane U, CP SiMe
Ce ea rs Cor
eer aF Ps TYRE
( Widowed
0) Divorced
Single
UB an SO wnt witha
'
Date.
ie..i) etree 1
SSRI er Ds art
RSM a
pe aU are Sa ATTRO
(What Race)
B
So bn EN ee eer} Fes a eee, 9 MEY ng eed Laie OL
WE ewenhs
sen anew of
Charge to: //1¢ . Careky
STKE.. Meninien
rf
PTREEO
Binola sisic apae ewe
‘ls
ni
'
~
Complete
Funeral..
Médro
S90 ACU
im,
ME. ooo oo. oss 5inct detains cous
y
$
. 2.. cess
cee ee Bese
cuee
es
:
Casket...%.. Merete.
eee
FO 2],
Order given by.....4907>».. aes ha we. lnk Sieg Slee! bince » Mngt Vault ce Bek: gcc. fo cs swe vse see See es
(or informant)
(State Kind)
How Secured.:... 5. TaN Sat
SAN an
ee Embalming Body ... Dn
hae eager Soccanr ©
Occupation....... Seieaiudvi
katie Geis len ieee
Barber, $...... Hair Dressing, $..... }....
ie
(Social Security Number) . Dressing Body, $..... Underwear,$...]]....4.
Wate Gf Employer. .65. oo. ved cas ss be ae tine ce ae¥ua es Suit or Dress..... Perr
i
A
AIRE Sa Sa acetal 4 4:3! sn ool
leh Cabs wip ohn wi ment diane caw aa
(State
Slippers, on
Kind an
lly cae, FAGSER Se
ened .
lor
ass sl Sel
noe ks
Date of Death. 25..4' (94.0000.. LS3"@ 7k, . Folding Chairs, $.... Tarpaulin, $...../....).
te)
(Hour)
Date of Birth.. 4/4. oe a she reel ad geet?
Age
g 4
rceniie (Years)
4
/
ss-cic ie ells ea oe
Door Spray, $..... Gloves, $......-]le. 0006]:
Funeral Car, $.... Ambulance, $.....H....4.
""”” * (fonts) """ "* ays) ""'’ ”*". Limousines
to Cemetery...@$....0.feces eee
Date of Funeral. St. /07, Ue hryntay
renee
Candelabrum, $.... Candles, Seis:
7 P y!. Autos to R.R.Station.... os
Eeromivert
priyeas
(stout)
Us cxay erases
Getting Remains from.......00eeeeeecHeceee
cube
Services at: A cream
1. Abs sear.
44
Chregeen,peeeeees Taking Remains to.......cceceececsende
sce cce
Clergyman:: Kees . ney
S40,
, Bett, Regs Petr Mee Trip to Coroner’s Inquest .....+++++.++ff.. -].
at
(Address)
TOR VONE ENO. oo. Nios ove eee a age, bce
Religion of the Deceased.,...77. pus
tteee eeepete Deliver Flowers to.....escccececeececesell.
5..
Birthplace . (7. 7/26
in, Alerhrcan..:... PTO CERN 0 56 es sh)e 8) Cin oh atk 8.45 nye, AE Lu el
sa
Z2
Procuring Burial Permit...
iSieae sad babkey’ We
Residedin the State. . “ees os 6sic ips “races. Cerlit Contasod Deaae
ert
rtificatesNo esha
Tia
um!
ani
ict
Place of Death.7.3 9, COMA4S Baad, Yalheg.
2
a adel Pall Bearer Service,$.. Use of Chapel, $... . ....1.
Cause of Death
he, Yoh. WiliroZ Personal Service....cccccceccccsnceccccccllecesccele
Contributory at
Dibing pBasercrec
seer eteseeceserece
ecece
seeeeeecsereee
ceedser
esa od
saere
rAhilunke *: Cdr bask.i
ee -Gross Total for Sales Tax........0. $i.. .Ye
RMORINE
ORIE s Siiee sehen Fda 43 4 ale ob Glen o's oR
ee
Certifying Physician. Manel,
anwele, Xe. Haak 7A.. Creation: seispe tse snake -o N's 17) a Whee Bae ae we a Bey oan
Hie Added: Mes "hes
line Death Notices in... Papers ....[[....1.
Name of Father. CAL, ; “a rele Mpa ihe
His Birthplace. . Conrcareth,PO ar fig 7 gi og 0! NAR
Cha
Maiden Name of Mother‘
teor 4 fe
Her Birthplace. . Coe~reuetl ..&
evn Rensicnto
Flowers, $... Pains, $."
as Matting, bMS S. . ceeae gna aetaen =
ane Rental of Tent, $..of Temporary Vault,$... ]....}.
Opening of Grave or Tomb.......... .
eeeee
ede
Lining Grave, $... Lowering Device, $... . .... .
Outlay for Shipping Charges.........])-..ay
ow
fai . ieheta eaeaecoke : Rares oe ic a
WY
or Motor f +ICKEUS,
p.... plane
es
. CC eee i
Size of Casket"40.2 2 Llotewce {haak ¢ OPPs.3 Telegr., Phone, Cable or Radio Charges..... ]....).
itament ae (eigenen Ca aaaaaee. Sa
e
Manufacturedby 47 :%.2.G. oe ees ccceceeeecee: Cin Atreaineth cc oo; Sakae ects bu cas suideeMeds
ck
Out of town
Undertaker’s
Charges......]]....)
Lot Nov. .otisfsentetsn-f Beli a ee
rave dae. ik
eek Potel Footing of BAT.
e.
f
erage :
Diagram of Lotor Vault
—~
+
.
Section.NoOs. .scecsecsws
s 4s
RAM
cis 5 se csv ce dese $7. 9.7
in Sse beg elalg. ac. bya Gh rane a wire eee eR
$
Cen
comerCe cesecncecece $
= Beep ew SS
aie
Owner. .-.2.-20seens
see Entered into Ledger, page.. /:.or below.
.
bed wanna 2
1.13
4.
.
wy 2:
ee
.
ui
.
’
64
Sata