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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 wnt A Total No....eeeeeeeeees eas Re 5 os Ne win ete _ Leet De ee Hesacra Single Les Gridowes CO Divorced (What Race) Residence. ok 1 oe ee aM esd gia pe SniuccmNeeae i ey Wem hac es Charge LA pf bis, Ll. a bk’ St Neti PGE. co ua ees s vuiek 8. mc bieete LEF8 Address. . 44.4. Ditf ed EW ih kee ate hm; ’ . « ht Casket. . t(D trartett ccc cece cece cece hae Order given by. Taagefeta ca Date vee Burial Vault or Box ..-..-g0eeeeeee eect efece ee “eZ or ipformaft) Embalming Bod (State Kind) How Secured. . “ ‘ 143 ik AA Se oe ee m g body ..iN aes of Embalmer) 2g Moms 9h SEPT S ot) 2 en Occupation . . a ee A iat an ee ees Barber, $......+ Hair Dressing, $...-.. }.-:--(Social Security Number) . Dressing Bodies Pentel We i? Aaa ct Noli ans so Name of Employer. . Veekintd. Troe radea fg eed ee rs nach ce SET om Suit op Dress. . (2Las fe. Chote. 2 cite e Kind and Color GGPCRR 2 troche i alaccierelatg'd: bate over elista wipiecers a\elaidhd wascelie dune eiale,s Slippers, $.....-. Hose. “eee : ieteenns, pumas: Datoct Death. Chole eae 10 10 (Aiding Chairs.. Tarpaulin, $...4+-f. ese (Date) Candelabrum, $.... Candles rw.. Uae. tenes a Date of Birth. . PON 2, a oe.’ : re Door Spray, $....-Gloven Bob te Gatedles Z as gli an Funeral Car, $.... Ambulance, $.. 3: jens.) Ao. ont PAP eee es Abed sree onthe ou.) Limousines to Cemetery... Ce Bee Sie hn owe Date of Funeral. a Y and Mj 942, Sad. 2 /2™. Autos to R. R. Station.... MRS <x 9: «lena aden see (Date) Ve hain: COL) Getting Remains from.....--+seeeeee ee eee sees Services at. .%7 4.% GU ACUTA A: >.) Taking Remains to.....-cececeeeeee eeepc eens Clergyman CL, DiryzshDicdeh oe _. . Trip to Coroner’s Inquest ....-++++-+eeees. feee ees ae SAA (Address Delivering Box t0....0.cscesesceneee teed ness: Religion of on Deceased . LE CEAMARIANT oo ee eee Deliver Flowers t0...ecceceeeeccee eects ssf ee aes __. Removal CROPREB cases oh om sedis tie wren cas Be omngy s PORN S mt ee ne Procuring Burial Permit. sich eer a ee Resided in the coer oa or Coy 25-4 "(Kear . ( OL ghar ‘. ___Certif. Copiesof Death CertificatesNo._____. . ... C. aadesdal (State Physician’s or Coroner's , Place of Death. ACCA CMA. IO. kVA EGCEAAS « --Pall Bearer Service, $.. Use of Chapel,$..-. ]..-. Canto of Death ea a ty satan nec Face os uw Mw soe le wle ok «Heeb isine Ree S)# Soe Pema Wier OH As an EAE ae 4s 8 Brg tere nt gid Ret Be olathe eet eeblid cy ac oc yan alprbed aia kd a de Seco Gross Total for Sales Tax......52++++-$.-, : Outlay: for Tit iiss ioc ies tein a'e ob Seine eh title es oe a Certifying Physician. Mrichheer He. Mi Cheech. gt Ha, Cremation. &aat en. .Cacrtrrntanda. . .. %. ie eee ae Gtevn Aa. : CD walle 1 speak ..line Death Notices in... 1 CE EOTE 5 Selle eo Bele ene Name of Father. Sas AE, ahr is die nia Flowers, $... Palms, $ Matting, So ees Eo dented His Birthplace. . (Yhucare. Wheat n Pen olee tie Rental of Tent, $..of Temporary Vault,$... . .---is Opening of Grave or Tomb.....----+++-l}e eee Maiden Name of Mother. (a AL tia VIERA *--. Lining Grave, $... Lowering Device, $... . ----Her Birthplace. ...ZA&G@¢2r ACP OOT EG. oo eee Outlay for —— Charnes. Fea ewes «Oe Clergyman, $< ¢¢.Singers,$.’. .Orgenist,$... /----aie} Rensine to feet Bac See sear ge pne ont ae j oie eric ox Motor f picmete, $... 5. plane ia, eS Size of Casket “7. Bheed Grn. C *: aos BET TSE te Telegr., Phone, Cable or Radio Charges..... ]----“Wranufactured by At hey oo aaa es eee ee. oy ge mK Sas GME ra ca le ito La, eh Ses Co tof town "s Charges..< .. 5 siciivieseffoo ate WAocmaled oblifoen che 6 ellie et eae aie itbas a Gee cic po. <<. capa anda 3 * i: Total Footing of Bill..........56. 3.7. Sc, ae " bess: . nce ane telpgaa i, ae eA ‘ ut EE VE aS Balance....... $1.4. 9 < Diagram of Lot or Vault Entered into saat pages..) or below ‘ : 1 Fae i . os = et