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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 O F FUNERAL Date. Litas. a, PPOtAU INOS pds oie ies! epeibeolerelat one Yearly Nou.. .do ce ectee ee. . Date. 2ADGI. entice vvtes Name of ee wh AL ie Cangrant. LAibkehrreye Mir hint te + he Sa Wate. a Se ed Single (1D Widowed 1 Divorced (What Race) Residence.. Coadki fae cabana: ere snarisuleiads ea ensure Sarees ober ac apes Br ee Chae tp. Vg ile Le Z Yd oO : aadveen. a Complete Funeral ....----+2sssee reece $I. . .< en ee ta ee Casket.. AL CANTER oe eee a Order given ae seen MA Hi Seat hees. . 2 thee e cece eee e eee Burial Vault or Box....-BA cps Cate ee 7 (State How Secured..... (Ahpare. USES hrties sie Sah exh Embalming Body ... OPI Oo aay Occupation.... agi PRN hl a lea Darber, $0 os ces Hair Dressing, $....]].. (Social Security Number) . Dressing Body,$..... Underwear,$... Name of Employer. .....e.eeeeeee eee e cece nee eees Bull or DiGi. 5.2. ess os cues eet are 2 i'd (State Kind and Color) RUD OREL Fes Ol se eich eke S era luse, Hr lateanlie ebasetteh ining ens Soetene) 5 ecsyals ee Slippers, $.....<.. We Sec ce Date of Déath. ce ag 42.. 8 4G, . Folding Chairs, §.... Tarpaulin, $..... s (Hour) Candelabrum, $.... Candles, $.....Date of Birth. . leet: 13 we LBW Sats ssiaretsuelony Door Spray, $....(CIOVER, Bs diese? wend nt en J7Funeral Car, $.... Ambulance, $..... peat) ai (Years) ipa ae SL (Days) Limousines to Cemetery... Ged ee aes Date of Funeral tn 24 kod PATI.. 74 an. m,. Autos to R. R. Station. ... GS aes. ae CL, Getting Remains from.......-++--+-: Services sages ——— ZL hodst, teseeees Taking Remains to......-.eeeeeeeee flee. Trip to Coroner’s Inquest .......+-.-mt iay ae sy (Address), DGUVeriING OR 10's 6 oo ie 36s sis ete an eh he ereceie -Religion of the Deceased.. . “+ LP ORAM ORAL occ. Deliver Flowers to: 1.6 pi ek Wes eck a Birthplace . pe ee ee Z i oomtte OG Rea e Removal Charges....0+5+ssseseeesceeee: a ZL: ce Procuring Burial Der es oT edi ite Number an: istrict pine anaratie ‘(or U. 8. or Mty or County) * "(Years)" ( Months) -___Certif. Copiesof < CertificatesNo. ihe tate ician’s or Coroner's . Place of Death... a1. ora Sees de win Wesceetela s Pall Bearer Service, $. "tiga of Chapel, $... 214 Cause of Death 2 Z, Personal Service).. 6.6 cose ee ce dincueaine Keieiee's ee Coatributory Causes. go Coxegatsntal oe Pe Ree aed ok tc amare a Ae ee Ade ote Sa eg Sc Mi 6 as Ween eauetiies Eisen el cin HORS BTR ee Gross Total for Sales Tax....:.....-$]/--. AUTOR AIG 5 oa. ace aes aco oe eee! « ereceysse eae = ak Certifying Physician. tha tcf ae seteces Cremation Sey eee, tesa cs Tale ested His rae Gara 2 ten . line Death Notices in..,. Papers .... ie Z J Joes n eee fet: LAER A ET.» «+606 Name of Sather. he es Flowers, $..: Palms, $... o Matting, ~ eye 2. *: His Birthplace.......44 Laat dA aged hls Rental of Tent, $. Mee Temporary Vault,$... . .-. oe een y Opening of Grave or Tomb......... Maiden Name of Mother. fC ) «cd Yi Date pe eae Lining Grave, $... Lowering Device, $... ale » Her Birthplace. ...... «QA GAC +.. serene Outlay fot Shipping Charges. ........ Dae Motor} Remains to . ek oe 7 lity anag. Clergyman,$ Le Singers,$. Organist, $ ies ie Size of Casket. 2 ee or Motor f 2ickets, $.... plane Service,$... ord) ai vis (State Color ecpoedadeain man. A Telegr., Phone, Cable or Radio Charges.... Manufactured by. OLE a ta hd C4 Cash Advanced beanies mash a hen « (6: Groat tel afin; « ng Senso pivde wou Interment Be ea5 & Lon ia siAge andjeseie { gaa ae . re aaa: ORDAERE. 27 vee sey Lot No.. eseecreesf fee Grave No...5..0s0-05Total Footing of Bill.........0.. $l. 2 dpe Fel ase IPRS enol ee vo divi have aise Rae bee cmetehar tes $. on aC Balance....... $ Diagram of ct oe Veet: Owner. .....2eee eres Entered into Ledger, page... or below 7 1 i 1 ] i =