Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 324

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