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Collection: Original Records > Death Records

Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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ee eee ee RECORD OF FUNERAL j Total NOccalevc tvscecpwecs Ww No Date. Lf eee 4 ae. .19 Name of Deceased. dad began LM. BLE EE a ame 8 a a GPuie.. Marri j i (What Race) Residence. . fo (Me LIE ie = i apmcnaciaganee: ee lote Panel. oo. casas hde os Bie Atala naareZ? fad Shee LES, et. Complete Funeral .. $ Ae i fe sags base Casket. +. LICAGACER 6 ces eee neces 450 .\.6 Order giv BY? he Jy, wi Ween cal ewan ka Burial Vault or Box ... datas tf informan' tate Kin How Secured. : . L-FAEAZ4 occ ccc cccccedeveccceceees EPO OC Visa. coi clg et cla eaceleacsPe tee sy pcr AN ate lae etal (Name of Embalmer) Occupation... tat LU LLAUTI LA, occ ccc ccc cneees Barber, $. 2.6.2.. Hair Dressing, $....-. ]..-. a (Social Security Number) . Dressing Body, $.....Underwear,$...}}..-..]. -Name of Employer TE oe oT Ea tg dae y Hee Sad wena Reg Sy Catt EEN. oa eet OM ie co MenaRt PUPOONE bs elon dma ee Rio $ols ares wo 0.ns timers Deine wma S See Slippers, $.....0. Hose.. 0. cece eefee eee ee i Date of Death.. 4th .2/ A942. 4.6 fe2e., . Folding Chairs, $ pean, $....--]}-.. fe. y Z, y ) (Hour) . Candelabrum, $....Cand@W@s, $.....-}/..-. E Date of Birth. fatty 8 i RAE Door Spray, $....-Gloves, $...... feces ees om : i F ce ie Funeral Car, $....Ambulance, $.....]. .... 2) — heer & Gh. ee Los me (Da F. i 77. Limousines to Cemetery... GS oso eon Svein a8 al Date of ee * Cageg 43-. PIA. Autos to R. R. Station. ... @ $ aie iendeberareioie etter niece ae LA (Day ae Giour) Getting Remains from.......2e cece ceil ee eens af Services at. EAPEGA IA. vv vee evans Taking Remains to....... Ca Pg aise oN eh oe NPN 26 Occ ara esate vine o:scein'd bn 4 0 Cr scien Daleaies 4b 3. a4 Trip to Coroner’s Inquest ....-+++-+++++esfee sees: me ‘= si (Address) Delivering Box to. oo. oe eas cas ccc siewlencs [fc sos esl Religion of the Deceased...... see eecececceseeeers Peet cae Senere $0.0 bc. iow bec Cals sete > anek Hs Coad Birthplace Pebbles. . aspen. Eo We ioe 2, Removal Charges....cccccccccccscseeeredeceeeee Me . . 3 A Z Pe Procuring Burial Permit oo» 2 “and Distal jt Soe A Risa a e Hetiied a the Gate wif or City or ed” 4 % ae _ ‘. ___Certif.Copiesof Death h CertificatesNo Se eae Bs Place of Death.. Pall Bearer Service,$.. Use of Chapel, $... . .::.. i Cause of Death :C sf Z 5 4 Z 62. gs ~ POPC SOME NIE vcd Lends 555 Sola ioe are Bw 5° nie ae BO eee on ‘ Contributory Causes. la SP Biyeraeatlicr. ir rs iy ott, < ct nae i ogee Se Ae peal Te) as cain. an > eS Dafebaritiien Cnaricda npc risa E RS ross Total for Sales Tax........50% $}).. 2.) < cota for Lot Certitying Physician. Mlln. 02. Rt epaatpoaed he. Cremation Pe pes ee © $i Kaien. harcore GC ay) Le Yama . line Death Notices in... Papers ....]]...% ewe of Rashes: bye? =a nae EN eg nl? ( ee mae Siceailcied ee ee ee ee ee ee ee . CO ee ee . ce i Flowers, $... Palms, $... Seating: Ss 412 5 aaa a His Birthplace......5.& PF ae dwcecsnless wie Rental of Tent, $..of Temporary Vault,$... ].... Wie 5 : A, 22 Opening of Grave or Tomb.........]}-----6«a Maiden Name of Mother. 2. = ie (ae oa Lining Grave, $... Lowering Device, $...]}...ne Her Birthplace. ....(,A&t4+GADtthe. . sa latecalt a Sieseta Outlay for Shipping Charges. ........]]------nt Clergyman,$... Singers,$..Organist,$... . ..-.: cued sup} mae roc coke. ¥e ; ie Cava, } Tickets, Buk AeroServices $c so. fhe «os 0 4 Bar eh Cancer e Es, (State wt & Mamie ol Telegr., Phone, Cable or Radio Charges..... . ---++++]Manufactured by -<C44-4as ENO Fs cis bi aeescar ay town U , — ‘ ae seed File ape kenellenaaca score : of town Un er’s arges Ki oo Seo esas . irae hi aM wee, eae. eam" te Neer RT Lot No.-essseseeeesesf ee ge ee Grave No....+++-7<;.. Total Booting 0 OP BR os aa eks fo nce es $).7.9 72.14 . EGGS, oo eee eee te ie Say ee aad ve Uns sinew aes © ae Section No.......-= i aisinaall 7 ana “> Balance... Sapte ae a SE Soa _ Diagram of Lotor Vault . Owner. ..-.---seeece napa Entered into’ Ledger, page. ...or below.