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Collection: Original Records > Death Records

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

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ih RECORD OF FUNERAL otal NOs. .«diccscescaenees Yearly No... eis ei Date... lajerahe 5, Pee Lane ee 3 Name of Deceased. . pte ted Draaetad) (Atak Le ey oe Wb ete ess 0 Married D Single Widowed D Divorced (What Race) Residence. . Vee eadin JE Me acu¥FId Beery ca ae e ee ARE Coxtesbanal JwiteJwiton . Pies cin Ft oat aerate phils Charge to: . CLAMP. LBAEGK. 0. everett: —iideen:. Pe ede Poa oh es a Complete Funeral Pa, eae a lua esa $7 2%. Cooder pilin ee nen CCE iinet cea cieregs: cag” > eS Lijee (orjnformant) . i (State Kind) . How Secured. CALF, ad. ak Gone. __. Bmbalming Body ....---scecerursssetts wesc (Name of Embalmer) Occupation... Le Bie a Sak Barber, $.:..+.+++0 Hair Dressing, $.. -ov. eee: N pee (Social Security Number) . Dressing Bedy,$...----Underwear, 3? 70. aoe seme of Barployer . 0.5.5.5 sence te eens nine eer s+ he EI. imne f Suiter Dress i £4 FAA EME cA Slippers, $...-+-++++Hose, $....-eects fereree: Folding Chairs, $...Tarpaulin, $...--+-. J--s+-+Candelabrum, $...--Candlexa$ ene Mere. ree Door Spray, $.:.--+++Glover’ $. 0.. eee effec eee Funeral Car, $...-Ambulance, $...---}---+-+: Limousines to Cemetery..2 Tene! arnt . Autos to R. R. Station. ...@ Sone ncsccscche. dees: Getting Remains from...----+++seseerrr sent Taking Remains to...-+esseeeeersrerr seeders Trip to Coroner’s Inquest ...+--+++s+erere cere Delivering Box to..-..seceeseceeerreree er sess Religion of ee are 2, Deliver Flowers to....seeteeeeeeeeeeerr er eeeees ly pictues eee Cas pg wis Be ed Removal Charges....-eseeeesceseeereretersees . Dutdakinihe Ste ee Zope LB Procuring Burial Permit. her aes eames, Swen a ee ee VETS tits AF sssiig . —Certit.Copiesof Death CertificatesNo———_].---. . Place of Death. ceca en tiar reeoe we Sigrele xe. oln/pre tie ale Fee Pall Bearer Service, $. . . Use of Chapel, $... . .----> Cause of Death A ae Lp en F*, Personal Service....-Fal osetia sae ee Contributory Causes. Lrteasir. oe obpa-de4a Nig Mi eserds ics onic adres <alarayn vise hme ee eal hee + Rae Sa ee gata Ja eae ops ule ae rewsnaerea t= Gross Total for Sales Tax...0.0+-0+-2+++-8).42 Outlay for Lot....c.c cece reece eee e reefer eres Certifying Physician. Gee? Gf. Zi, : Hricekes. 4 a4; Cremation re ay rslaeded si er RE Bihan iter rere: err. i His Address: : LMA. NAPE i ove ccnnencse: ne Death Notices in... BPCrs «6-2 -fer es + 2 Bh Ree eer cl ck brea are wil ‘a Name of Father.. . eeeee ‘ foc prers Drege ++++++-. Blowers, 9 ees : — ‘ "Matting, pa Te Ab His oe Wel), die cian vik = &. VEGA IAAL oo eee Rental of Tent, $..of Temporary Vault,$..}}.----= p Ze f Opening of Grave or Tomb....-------eeeefle eee? Maiden Name of Mother. RE.» LE MOR OI EE SH 3 ++ * Lining Grave, $..-Lowering Device, $... . -----> Her Birthplace.....-----4 e Fa al Aeiatiae Outlay for Shipping Charmeie ica eos ne wie wad + cig 2 Motor) Sesessiion Wi. ae haere 1» Liaseren ay . Te et Singers, $ Organist, Sere me or Motor f Lickets, $..---plane © Service,$...}]----+: Size of Casket Me. 722 e, aaa Telegr., Phone, Cable or Radio Charges..----]--++Manufactured by. : 4 hes Peas . ie 7 ree ~~ Advanced SR Rega athe ae . Out of town Undertaker’s Oh. Vo end pis Shae rerment a Lara. Cevige Larneeleng . Seth eee 2. Damon, Wark Sop py Soe ate Lot No...-+++eee0+ ie Satna deck I ae ete et Grave. No..-.eeeeeeeees: Total Footing of Bi cals oc siace 0 win die v.eis #0 08s $ Pg Z Bile. oc cc ar thes esas a slces eae oe eels vee e's Section No...eeeeeeeee es a : PS i ses Paeer et ANCE.. eee ceverss . Diagram of Lot or Vault Owner. Crews. eats Entered into Ledger, page..-or below. ; 7 =a aia . Tene ba: See Ae