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Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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Page: of 324

fat A 2 z
RECORD OF FUNEKAL
Total No...---eeeeeeeees Yearly Now.. 2.0.. eee ee eees pate.. Afareihs, Afonso
Name. of Deceased. . Lelia. £, Aeedescng eal alirate stent Uitu Siena
whe hog ans oe Residence. &L., ‘ Bd oe er Cistonbanal Jel widen { 1 Tite clagheipye teh: Rooter
Charge to: ks» Gi beh adc. Be x73
Tssada. LLE. be eiteth 7, po Complete Funeral ...-------at $il.7 27.1.
a: ‘ Casket.. YT AI LUAACEP. cece cet YAR
Order given by..<4.+7-7 % hii gk cna Burial Vault or Box ..gy int ee ABE.
How Secured.:.Mpuervit Det Me eth Ohne ie a Embalming Body ...-----2eeeenee cst i
‘ (Name of Embalmer)
Occupation ... Beoreacbacigt i cis eG ind Slee Barber, $..---+++++ Hair Dressing, $...---. . --++++(Social Security Number) . Dressing Body,$...----> Underwear, $. Bea Weigel
Name of Employer...-.----s+eerersrrrsr sees Suit or Dress. POOP og sath gust ts neurodes aes
TF ce Wie toae NPE aN Are irene Pie 0K A eh (ake ian bahar Slippers, $..--+-+++: Oe. $. bine renee) aber oe
Date of Death. Ljerad VA AZee AoE AM Folding Chairs, $.... Tarpaulin, $...+---J-.+++i ay (Date) Candelabrum, $....Candles, $...---++-. [eeeeres
Date of Birth. ZAK.. F< eT Bee! eps Door Spray, $..+.++++ Cloves, $2 cas tied ee
ES a Oe on Meee Funeral Car, $.... Ambulance, $.-++ +++ -feo2++-)
ge (Years) “a is Fs. Limousines to Cemetery... (eR > Cera me
Date of es HZ AA, Lt%. ‘Autos to R. R. Station. ..-a aes
tft Wank) Getting Remains from....-.+++eeerrerreciferrce:
Services at. .-. Taking Remains to..--.+++++eeeeeeet ere edrsres
Clergyman. bs, SU ot oe con Trip to Coroner’s Inquest ..---.++++seeerreefferr rt
Sot 8g Delivering Box to....-.eeeeee reeset errr terres:
Religion of the Dee aT. Deliver Flowers to...-sceeeeeeecsseeete effec sere:
mone Removal Charges....-eseecceeeeseree ste eier scree
ane > ae : Procuring Burial Permit. «. sane ec ag aes any *>*
‘uml an tri
esided inthe ae ___Certif.Copiesof Death CertificatesNo i, Se
i (State Physician’s or Coroner's )
Pall Bearer Service, $.. Use of Chapel, $..-. . .----. Personal SorvitO. w iccdcssensbe sw uresoesetwe pe see ts:
Gross Total for Sales Tax....--ss55+++00 gil.. 74
Outlay for Lot. ...-6c ee eee veneer cere cen eppr ree
CHemn ION Ue sess valk + Heese eo see ent gD ee
Sis Address. oe Gta Ts _..line Death Notices in... Papers .... . ----->
Name of Fa’ Flowers, $... ee ean : Matting, , Sie, See
His Birthplace. ... A: Gear e errr regereresgerres Rental of Tent, $..of Temporary Vault, $... . .----. Opening of Grave or Tomb: doce ees bee oe ote
Maiden Name of Moth signe tell lll Sih es . Lining Grave, $..--Lowering Device, $... ]-----+
Her Birthplace... 4 is dé. 8 Th A Ey Outlay for Shipping Charges. ..---------+++sfprrs:
Motor} Remaing * : re Ve fase Vy 1$¥. XSingers,$ 6-2-Organist, $85 are
24k» EMAL. » opr 5 ket, $.. nog 5
ae ee 1 os Motor f Lickets, $.-----. Ban ervice,$..-. . --+++:
Size of Casket 74 SAA endshrvecatie ML. -‘} Telegr., Phone, Cable or Radio Charges: ..-+ +--+ +=
Manufactured by: “are. = Ser IIS Sel oS og Advanced. BE eta Each ten acs gma ok ah at ot
‘ ; t of town Undertaker’s Charges...----+++-. rr+°*
rnin a oe ae
Se ee tn ge) seh Steen eee
Grave No....eceet eens Total Footing OF BUN 6 Soko vic ois sac ee were oa sive $ i v :
Less.. bn ccc Secle nc cence cee eceeoceecnsacns Fs
! Section No...+--+e++++:: $f
tae —. on =. 8
Balance...Duprearen ge i ele d
Diagram of Lot or Vault Owner. 2. ---vercecsencese Entered into Ledger, page. ..-or below
. Amount Paid Balance . Date Amount Paid