Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)
Go to the Archive Home
Go to Thumbnail View of this Item
Go to Single Page View of this Item
Download the Page Image
Copy the Page Text to the Clipboard
Don't highlight the search terms on the Image
Show the Page Image
Show the Image Page Text
Reset View and Center Image
Zoom Out
Zoom In
Rotate Left
Rotate Right
Toggle Full Page View
Flip Image Horizontally
More Information About this Image
Get a Citation for Page or Image - Copy to the Clipboard
Go to the Previous Page (or Left Arrow key)
Go to the Next Page (or Right Arrow key)
Page: of 324
Name of Deceased.. Ad Ae. Wietak Sas ca 0 Sean ake Raa ee Soziale..
Residence. .. 44.2.. Lac. Bie Dee ie. Camino
Charge to: Litoz Pueres. ated tae Be oe veel ies of
Metco Complete Funeral. ....-.--. 22. eee $. _ JL L£.\Z
pe eo Gate Uisiaee. olaba ce syy pln clat ores elaieles nee Py a OR: sar, ys; > MT . gh kT:
Order given by. La A. Pale: te lL Lh idle, Dae evn 9 Burial Vault or Box ....--2--:+: ut i! Bates ;
(orinformant) “"" “(State Kind) .
How Secured. ; «A -<Ptt AEE onc oss sn cstunewecessy: Embalming Body ....--DORIA ee che: Howes a
(Name of Em! )
Occupation . Ahdict. Ny, nO rig sa lah A I che Ee: : ee ee Hair Dressing, $. . oe See p
r (Socia) Security Number) j 7 by
Name of Employer. MZ:. Aa. thaw. eovvee ies iio age ome Me teaeii. Oka &
‘s (S' Kind and Color)
: Sea Oe?” peep ts. enema ey Si “Hose, $2.2.. Chee fos: 1
Date of Death. . feffeach, Lee Oe pep ee oe WZ Folding Chairs, $.... Tarpaulin, $...---. }-----+es
: (Date) (Hour) Candelabrum, $.... CIANGIGB Dhan ol wi eaearee = ;
Dote of Bist NOMOT Maret eda Door Spray, $.:..0.: (ite Bo ke if
a 5 Pe xe er Funeral Car, §..--.-Ambulanee, $020.00.. 3
: (Months) (Days) Limousines to Cemetery... CS in ee ee Rane 4
Date of Fune (, A 2.2. SE Peal Autos to R. R. Station. ... 7S eT RE NOUN . SURE GE ;
, te) (Day-of Week) our) Getting Remains from. .....-2-eeeee eee fers eees .
“Services at: :: AX AULA. 4.) Taking Remains to.....--eeeee erence ce cf e ee ees i
Clergyman: : Y te ot fess: Se a5 Trip to Coroner’s Inquest ....--++eeeeeeeeiee sees ;
: _ Adgeps) : Delivering Box to. ....2-ee rece eee eee eee aces :
Religion of the Deceased. WALES. . Deliver Flowers tO.. ...0eceeeeeees pele pian, snr, *
. Birthplace ... OS ie biti ySpeed. \ Seas . Removal Charges.. ..0..ccccceseene ccc cile senses .
R cares eS Procuring Burial Permit. ie eget oy a ‘
lumber an istrict)
ee ae . 8. or SPS os ths) . —Certif. Copiesof Death CertifieatesNo LR (pee i
ite cian’s or roner’s
Place of Death. Y Lae A a Alba AA.. Pall Bearer Service, $. ~ Use of Chapel, $. : Je ins ohare
Cause of Death Td, (aeet 24 ees ap iets 2) a8 Personal Service....0++:seeeees SUS, Gee!
: constr Camel age Tig acm ee
Fee er orenes ehesbae i SimaaR # ¥: Slam Ah ahetedl coe s Be ae ee eg ig em
Outlay for Lo i , Age... er
Certifying Physici ape WfheteAe.... Cremation ae ee "aera Si gl
His Address: : ieee ogg CED) AP Beta eekel Pee ee . .line Death Notices in... Papers <u. Ghee ese i
Name of Father.....-£A440TR&* CECI, bcd ihivee 3 Mawes 3ee Be em Matting, “roa” ee x.
His Birthplace...... A sidecsentiat Pik Aeaet ee Rental of Tent, $..of Temporary Vault,$... . .-----"
: Warden Opening of Grave or Tomb.....-..-++-[e+--+
Maiden Name of Mother. “C&<2442E200 2 oo eee Pine Graves 2. << tomate Dede. aes os
Her Birthplace...... VVAEEM LETT settee eee Outlay for Shipping Charges. ......--+--[Jeeeeces ‘
me Remains to. a Gon: SS aS Se ears an, $5. ingers,$7-=0 rganist,$... AQ).
va Morr} Tickets, ee plane Service,$...}]----++Size of casket, £4 Sel : £6 eft. wsseceeceseeee+++t Telegr., Phone, Cable or Radio Charges..... . --++++:
Manufactured by. DA aTH “ PR Seg "Ce v2.2 eg Cash Advanced.. 2.0.. eee cece ee ee eee eee elite tees
Pic Pec &. ae eA Age. CQaen { <Gemetery. Out of town Undertaker’s Charges...-2.++ f+ BES ie © Me: ei dtele we Oo Se 04S: 0S HOe ao BUSS © & Ole Se eLS 6:0-# 6 SHEE ES TR SS
Lot No...-0sseeseeeee eh ee A ON Renee ar, oR
Grave No...sseeeese+++. Potal Footing of Bill....---+++se+ee ees: $. .7.F.8.
: FGA ers oo ciietcwie so Neate a o0 Bs eather ees OS
Section No......255mt y EERE,
meee a ae Na ' > Balance o.oo 5 cee sic os eae
Diagram of Lotor Vault Owner. ..-tee ereee :++:+! Entered into Ledger, page:...or below.
T
1 . ‘I Fs i] <a . .
. Miimcaccsed Fiore . bo