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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
RECORD OF FUNEKAL
foe oi Tiel Wich Oe oe ccs whew ewe a, Carne MOOR cata ng ead PEN IE SiS Date KATY, 2.0 reece eee eeeee
4 nae: a pac sore 297° 8 Hs 2 a
Te nog: Bb 2a Pe ee ee Cistusbana[witel]widow t *o paeittl Be bntie sin dny ts ae
. Complete Funeral. ...-.----st Sl ta.
Casket... Se eyo YR
¢ Burial Vault omsBex ..-----ceeee eer 4A
. (State Kind)
Embalming Body ...----s2ecersesrtrtt pind
(Name of Embalmer)
Occupation ......+ee eeeeeeneee: 5 chem ges eelelltons Barber, $...-.+++ Hair Dressing, $...---. . ---a (Social Security Number) . Dressing Body,$....-‘Underwear, $... eens
Name of Employer.. ..5--eeeeeecerercrterrrs seer Sst Ag ESPOUE coc ed iene wens n tree oe an
1 speek : (State Kind and Color)
; Bren a Fn Sica ae ies sen la hes Cae Rive san le oR satan FINE Slippers, $..--.+005Sa rere Ee
Date of Death Soy.. 17° /9x2....7 Cor..) Folding Chairs, $....Tarpaulin, $-.----Lage
(Date) (Hour) . Candelabrum, $...-Candles, $...----Laprc
Door Spray, $..++++Gloves, Bec. c.cs wie dng 1 Saat
Funeral Car, $...-Ambulance, $...---Fes
Limousines to Cemetery...Bis ax sade ste
. Autos to R. R. Station.... @$..-sees Peril
Getting Remains from. /.%0P(Or7.+--+ +s: wi
Taking Remains to...---+++eereeer terres wg)’
4 Trip to Coroner’s Inquest ..-+--++++++++>: Aue
AG Delivering Box to...-. esse eeereer eres ne
Religion of the Deceased . pie We ee spe +e easy A Se Ons Deliver Flowers t0...-+-eeeeeeerreerteee: Mia
Birthplace . aor.. Ab bs le a: 2 Removal Charges...-.++sesereereeser rete den
oy aye JQ UY Procuring Burial Permit. goo eo ae ae es
4 7 Resided in the State. . ade: “es Costes" Geecaly Pitta)” ___Certif.Copiesof Death CertificatesMo. ;
; Place of Death Chante i gam. A. ~yosrtokn... Pall Bearer Service, $.. ies ol Chapel, $... . .Darkane Famer, Cre dearrrel L Service..--.+eesseeerseresee ress Lee
. A) Mey, age etki yal cf oin deus Hs ce ee Contributory Causes err 7ie”, . LYLE
; yaa
_. Certifying Physician
Ss ibe
ee eee
pea thet} ipo en TRE is cc se Flowers, $... Pains, $ Matting, : ee as
2 Rental of Tent, $..of Temporary Vault,$... . -Opening of Grave or Tomb....-.--+-+++++ J
Lining Grave, $...Lowering Device, $..Le
Outlay for Shipping Charges. ...-----+++++: a
Clergyman, $¥.7%. Singers,$4. 7° Organist,$. .. mu ilroad Urn: :
Bee Ueickets, $6053 sine Service,$... bi
Telegr., Phone, Cable or Radio Charges. ...+. . -Cast AGVANCeE «6.06.6 soo See Scbe eo oele gees ei
Out of town Undertaker’s Charges...:-.--re
es cS cn sah a
: ‘Total Footing of Bill.......--.----$i .$
fils SI TAME Fo 5on dan soca pte ee nes nde canes ene eed $I.
: Poe: tr Rete oe "f ee Pielonee.) 62 2 $
Vault 0: ‘s 3 tered into Ledger, page... or below.
pate 2 . . apenas ‘Paid