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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 ee ee ee ewe beer e ere ese ee ee Eeeeseneseae eee FFF FFF FOeneee pees eee ett OF eseeeesssesseeeseeeeseene Complete Funeral Burial Vault or Box a a ee ee (Name of Embalmer) Casket...: Se 2 ee coe Barber, $....:.. Hair Dressing, $..... . .... pet Social Security Number) . Dressing Body, $.....Underwear,$...}/....]. Name of Employer.... 70. cece eee cece eee e cee eeeee TESTS OS iia Se i en he Ad: 7a (State Kind and Color) AATOSS © esse eee eee eee eee ee eet e ee eee eee, te eee Slippers, $ Cr Le aa Ty Hose, $ a iespees ee tres’ ALi Ey egian. Date of Death. Ex.. 40". /94/.... B( 5S Grr. . Folding“Chairs, $.... Tarpaulin, $.....[[....) (Date) y (Hour) . Candelabrum, $.... Candles Ge cc osicds Sealy cae Date of Birth. . on. ae 2 Se eae Door Spray, $..... Gloves, $..........6 Age oar é co // Funeral Car, $.... Ambulance, $.....]]....]. aes . (Months, (Days) Limousines to Cemetery... ie ee eee Has pe) & Date of Funeraled’ Ee. (2 : . Alot Lee: 2¢. _m. Autos to R. R. Station. ... Ores ell dee oe A (ten) cael: (Bou) Getting Remains from........cceeeeele eee e ede Services at: :7\. Cv 72ers Mw . CAgnitseen ~+ +++) Taking Remains to.. 6606. s eee eee ce copes cules Clergyman: Pie ‘6 RR 4 et ; A Margan-h, Trip to Coroner’s Inquest ........2.-(.... (Address Delivering Box tos 6 oo. i cv pasties ve cedetearhza gen ss Religion of the om _ Areal’. Chath.. e vee: Deliver Flowers t0...cccccccceccccceccececl.. Birthplace . “/2,.246..UGthw... Ca f £. f Syn Rit een. eo en ee pes ee ec. Sais, ; . : Procuring Burial Permit... TRO, ees eee, um) ani ict eMieRch anes ei et Sere ei __Certif. Copiesof i CertificatesNo oa ee Place of Death Arma .¥s pee AM aa mall Bearer Service,$.. Use of Chapel, $... . ....}. Cousot Tieash: Com. fC COnwseleste, POraONel SOPVICS, 6 hook cis cae hele nae «ee ae He w vive n ob —=<=Contributory Causes..... Bsa eg RRM eae pty ol Palfloes RevsaceaUcun rate is sMtls alesiy atecadenbterel sis al surda a aiel lire aso" au call Bandara ee Reel oy ae abt pect Hat ee SET eee ea oe 3% CGN SORE. his ack swe. bik as rae pk ic ee bali Certifying Physician. A a, Cremation Bete SN rig a eet las dices ‘ess! och ae8ih a ed NOE castes His Address. : A2add , of line Death Notices in... Papers iss lke ee she Name of Fathers f pactysoeiael Flowers, $... Paes, $0 Matting SeaTac His Birthplace/2 . A comgphen eo ee Rental of Tent, $..of Temporary Vault,$... . .... Malden Some of Sather, Wd : Opening of Grave or Tomb.........] 0-00 ee} Hiden . nec alee thorn ra. Lining Grave, $...Lowering Device, $... . .... Her Birthplace. . Outlay for Shipping Charges. ........])..--f og Clergyman, $ ee Singers,$..Organist,$...]}....J. Reese to Railroad ero. Bredhin! ae Motr } Tickets, Woes hs plane Service,$. ... }.-..-.[. oa of Casket . #3 SO 5 a aa egal ss oe aaa sie (ere eybue tas Telegr., Phone, Cable or Radio Charges Meee PR ae Ge { Manufactured by.:::. Catt aa e x (ARE a ee ee Cash Advanced . 0.. ou. ccsescccscaccccccecieeeessof Out of to Undertaker’ Charges.221 5. aig dye eee: Interment wtlereg ‘ ie Cemmalery, TN veohrey, Seats] ic a nae lite, . BE Lat Novsisiesesteeeees sesh SOON eae eta Grave No.....ccceee-Total Footing of Bill ew Wwe ole widiee aS. nie « ele 6A le $ a /. 0. ‘ L RR i lan! a cogil ete Stace ek SI icin orelnc ) ae 2 Section No.......-. =) : ——— —, ance... (eae 0.03, este las Fig oe Ea Diagram of Lot or Vault Owner. ..-.------+..0-Entered into Ledger; page... or below. eee ewe ade