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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

RECORD OF FUNERAL MOD GE iis vcs Since sinos ce Yours Nees i slgees Date. gr ESS Ane Teceleinttie 19 Name of Deceased. . VEZ: Spat brsnse eee eS ae oa Mo UZ Eee OO Married Single (0 Widowed Divorced (What Race) Residence. «7.4% Mberareedl . ‘ heed SU ae ee a Seraenmeee . RI lies Be ce, ap ele Charge to:. Lae 1 als rage Pe A ae ae er l tah caed” Complete Funeral.:...+-.eee $l. _ FS .3. .7 Address. . ee, S.A eaeteedd, afte. CZ Cont ee Wathen elem dat ate 2438/0 Order given by. .4 Ahad. Acadet FOOD, oc ce eis Burial Vault or Box.. seetihay Cope oriniorman ( tate in How Secured.:.. Piboarit roe aE REA Oise orale Embalming Body .. ee pores as AF +7 A Occupation .. A Vonatcaadfe Se deel sae sae Darker, Foie aes Hair Dressing, $..]. ..[. Social Security Number) . Dressing Body,$...Underwear,$..}/..). Namie of Rimployer sd ioaics cara oe Song ents dawn aeons sh dea Oe ee er ees: aes (State Kind an lor PMN asa SVN a! 18y) af inva tase msaselrw ove ae ehhh abel eS Slippers, $ a ese ie Nea ee. AST ee Diener Ne Date of Death. Bears ELLE. J LFF, . . Folding Chairs, $.. ey NE Sere Aen fe : . (Da S (Hour) . Candelabrum, $.. Candles, $.\.4 «ane fa dhe Ss cos bes Date of Birth. . Afesat OMIM bo a ciltes Door Spray, $.: 0.0. CL, Se) yes . ia seal Funeral Car, $.. Ambulance, $...]J.. 5 veep: ia oe te ge neha ks a.” Limousines to Cemetery.. SMM sts aa eres, Date of Fun A-#2. Se ate . Autos to R. R. Station. .. SE os te ee Vie rig Chega is Getting Remains from....-.0eef.00Services at: Js cate f “he SMM AGI COL ioe bis ects boc cas apenas c cus Sneate ee Trip to Coroner’s Inquest ....-.+.-]1..‘Address Delivering Boxikos eog5 8s ee ce cieod ode ah oie Gislsw cakes Religion of the Deceased. . oo aes reece eens GR Cer IO WET. coc os ces saeeiee ng cee wate. Birthplace . Cidlaarede, JD ith. Check’ Mas i, MAND EMMNIEM ss cig eve shah «ine 4 Bee as Wah Pay ely anche « Procuring Burial Permit.. sg i ge Sel Ree Ee nt Fe ae ayy eons as. gah bh. Canit Conteaat Dai CertifieatesNo.— eth ee ysician’ 8 or oron: 8 Place of Death. .7/ %. roof Dette eee eens Pall Bearer Service, $. Use of Chapel,$.. }..]. Cane of Death: hor Caen 327A af Sag, seta of . EHR FT HIOE. 8 5 9 HAs gs es vole = ah evens 5 SC pabaiglte me, Coe ake eee has Fakes NaS Me mode css eat ens: “a iat ne oe ne ts ee Gross Total for Sales Tax....05. $i. . VA PDR LOPLI 6s ies hs oak ion ae ees ee io > HS Certifying Physicion Card 7, SS OE Sr edie Se Sar CNM i oleae here a SNa Sl Eis Andvern: ; Fae: line Death Notices in.. Papers .c.sf ek Name of Fath G77 Se Pathe, oes Flowers, $.. Palms, $. Matting, $ NOE Pwiee sonal A His Birthplace Coal , Gaaghacad, . Rental of Tent, $.of Temporary Vault,$.. . .. ckopeeoe Opening of Grave or Tomb...6.0-0fhescecebs Maiden Name of Mother. . oe SERRE dis cok Lining Grave, $.. Lowering Device, $.. . .-.]. Her Birthplace. ...264¢2PR#2OZUP2. 0.000 Outlay for Shipping Charges. ..... . -----tor} Spite n tis Pi Clergyman, $47 Singers,$. . ies . -Organist, Cae ate 12 wae MEY Id , . or Moter }Tickets, ere plane ne Hervice,$.. ]-.---fSize of Casket 4%. 77 apt phe “. Telegr., Phone, Cable or Radio Charges:..]]..-.]. Manufactured ee ee ees Cath Advanced. sods. 05. Ul siies cee dh ee aes Interment at. . a Fa Diagram of Lot or Vault Owner. ..-.-+.-5Entered into Ledger, page.. or below.

RECORD OF FUNERAL MOD GE iis vcs Since sinos ce Yours Nees i slgees Date. gr ESS Ane Teceleinttie 19 Name of Deceased. . VEZ: Spat brsnse eee eS ae oa Mo UZ Eee OO Married Single (0 Widowed Divorced (What Race) Residence. «7.4% Mberareedl . ‘ heed SU ae ee a Seraenmeee . RI lies Be ce, ap ele Charge to:. Lae 1 als rage Pe A ae ae er l tah caed” Complete Funeral.:.....+-..eee $l. _ FS .3. .7 Address. . ee, S.A eaeteedd, afte.. CZ Cont ee Wathen elem dat ate 2438/0 Order given by. .4 Ahad. Acadet FOOD, oc ce eis Burial Vault or Box... seetihay Cope oriniorman ( tate in How Secured.:... Piboarit roe aE REA Oise orale Embalming Body ... ee pores as AF +7 A Occupation ... A Vonatcaadfe Se deel sae sae Darker, Foie aes Hair Dressing, $....]. ....[. Social Security Number) . Dressing Body,$.....Underwear,$...}/....). Namie of Rimployer sd ioaics cara oe Song ents dawn aeons sh dea Oe ee er ees: aes (State Kind an lor PMN asa SVN a! 18y) af inva tase msaselrw ove ae ehhh abel eS Slippers, $ a ese ie Nea ee. AST ee Diener Ne Date of Death. Bears ELLE. J LFF, . . Folding Chairs, $.... ey NE Sere Aen fe : . (Da S (Hour) . Candelabrum, $.... Candles, $.\.4 «ane fa dhe Ss cos bes Date of Birth. .. Afesat OMIM bo a ciltes Door Spray, $.: 0.0.. CL, Se) yes . ia seal Funeral Car, $.... Ambulance, $.....]J.... 5 veep: ia oe te ge neha ks a.” Limousines to Cemetery... SMM sts aa eres, Date of Fun A-#2. Se ate . Autos to R. R. Station. ... SE os te ee Vie rig Chega is Getting Remains from........-.0eef..00Services at: Js cate f “he SMM AGI COL ioe bis ects boc cas apenas c cus Sneate ee Trip to Coroner’s Inquest .......-.+.-]1...‘Address Delivering Boxikos eog5 8s ee ce cieod ode ah oie Gislsw cakes Religion of the Deceased. . oo aes reece eens GR Cer IO WET. coc os ces saeeiee ng cee wate. Birthplace . Cidlaarede, JD ith. Check’ Mas i, MAND EMMNIEM ss cig eve shah «ine 4 Bee as Wah Pay ely anche « Procuring Burial Permit... sg i ge Sel Ree Ee nt Fe ae ayy eons as. gah bh. Canit Conteaat Dai CertifieatesNo.— eth ee ysician’ 8 or oron: 8 Place of Death. .7/ %. roof Dette eee eens Pall Bearer Service, $.. Use of Chapel,$... }....]. Cane of Death: hor Caen 327A af Sag, seta of . EHR FT HIOE. 8 5 9 HAs gs es vole = ah evens 5 SC pabaiglte me, Coe ake eee has Fakes NaS Me mode css eat ens: “a iat ne oe ne ts ee Gross Total for Sales Tax........05. $i.. . VA PDR LOPLI 6s ies hs oak ion ae ees ee io > HS Certifying Physicion Card 7, SS OE Sr edie Se Sar CNM i oleae here a SNa Sl Eis Andvern: ; Fae: line Death Notices in... Papers ..c.sf ek Name of Fath G77 Se Pathe, oes Flowers, $... Palms, $. Matting, $ NOE Pwiee sonal A His Birthplace Coal , Gaaghacad, .. Rental of Tent, $..of Temporary Vault,$... . .... ckopeeoe Opening of Grave or Tomb.....6..0-0fhescecebs Maiden Name of Mother. . oe SERRE dis cok Lining Grave, $... Lowering Device, $... . ..-..]. Her Birthplace. .....264¢2PR#2OZUP2.. 0.000 Outlay for Shipping Charges. ......... . -----tor} Spite n tis Pi Clergyman, $47 Singers,$. . ies . -Organist, Cae ate 12 wae MEY Id , . or Moter }Tickets, ere plane ne Hervice,$... ]-..---fSize of Casket 4%.. 77 apt phe “. Telegr., Phone, Cable or Radio Charges:....]]...-.]. Manufactured ee ee ees Cath Advanced.. sods. 05. Ul siies cee dh ee aes Interment at. . a Fa Diagram of Lot or Vault Owner. ....-.-+..-5Entered into Ledger, page... or below.

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

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

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