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Collection: Original Records > Death Records

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

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210) RECORD OF FUNERAL Oeee serene ewer e esas eee ‘oO Wj D Divorced (What Race) Residence. F, Oo. 1g alan Ge eles: < aa epee ete somes = oy erence PC ited: 3) Bet Sc oferta mean d:adisawee sive of Chen is 2s ae LG ne = atk Oe fe fein Se em eo oF Complete Funeral ,.... Ee een ie $. . . 722 : Casket...¢. ee eerie Spe or migtle Js AEA Order given by.... a, ee Men eee ees enreeeeveceese Pubtat Paull oF Bek y i OM asada) seen ee Ata rmant) . (State Kind) How Secured.:.... "CECT « 4 Poe guide tee Pa PE ROPe ree Embalming Body eee ‘elie pM. cs . Ce ra Occupation..... BDYtaarlen {duchies wt Sie . p Maye Barber, $...... Hair Dressing, $..... .... ay (Social Security Number) . Dressing Body,$....-Underwear, $...]].... Namecof Emilovyer. .:.6 dawid es so 600 61m npepd 316 Ge plerectcs Woes edie Neca ta okey Mere, SR See ye a ul auarhe! (cecal FRING 5 «ida ig Vim ie acs ia als Wey dine og a ale eae ae Slippers, $....... Hae $. 545. tens Date of Death. . 4, Folding Chairs, $.... "TParpaaiitiy Gs i cie oe aff eeisamee . Candelabrum, $.... Candlesy $0 sivsds nau odes oa Date of Birth. .% Door Spray,.$ =.. ce+. GIOVCRI Si sik cg atlvsle flee eetenent al Funeral Car, $.... Ambulance, $.....]}..-.-. ester AG. Limousines to Cemetery...@$....---f[eee Date of Funeral . Autos to R. R. Station.... OSs pools s wallace Getting Remains from.. 2.6 6. ces sce cee epee cwen's Services at. @. . -. Taking Remains to......ceeeeee essere epee eens: Clergyman. : ge tahoge, ; ‘Pe ae Trip to Coroner’s Inquest .....-+.++eeeesflee cess (Address) PYGHVERNENBON GO). sc eberatanye:eua)os aren b's ele fheeecl ceases Religion of the Dec , CCU PRLEIA vee ee eeeee Deliver BiG Wert so oso avis idence cleuties buss Bee nese Birthplace . 2 A .&. aca. oe RUMORARONONIOB, F550 .'5 ede Vins Sane peace pee Procuring Burial Permit. Seen eee ee Une, cele Resided in the State. . ees ag AES * “(years ___Certif.Copiesof ja ene sy Place of Death 472 Gas foe Pall Bearer Service, $.. Use of Chapel, $... }.... Caman al Reath:. ia Joc oateed Paracel CONV ING: c0 ous ike oon vod oan Son Baa Contribyt A a Faunce i Pe ORNS te \SiRnrd (> ST er oye UM Sor ERE eR ES Se arery . ARE rmota Site RSS saa, SMR sa Gross Total for Sales Tax. .....56:02000BHe. so, GRICIUTORULOCAG 6.5 siels: so viece Ricteiacs Sco etensbanny, ee flnse Aes Certifying Prynician ptosis actece.: Naan. “hae ecrer Sete dd es Va eames eect y 5s fie « ys as Bis Address. ( rena the. : 4 ae .-line Death Notices in...Papers ....l]...-Name of Father. . Sas Flowers, $... Palms, $. Matting, bee tect Neen arte His Birthplace. ee Lage Neal ae, SUAS Aree Rental of Tent, $..of Temporary Vault,$..}}.... Niliaiw diene cf Mother. seaey Li 3 Opening of Grave or Tomb........000][e--eefe aS Lining Grave, $...Lowering Device, $... }..--Her Birthplace. : y Outlay for Shipping Charges. ........][-----Motor ,__,4 Clergyman,$... Singers,$..Organist,$.../]..-: Remains to. ‘i ‘ é LCC. ra Railroad f s ell ea . Footer }Tickets, $.... ine Service,$...J----+1ZE O . : Doles set ese « Telegr., Phone, Cable or Radio Charges....}}---+++ Legh Color and Capac. ? =e ede / rl cod SE rere soaataie webarat te edie gg as Speen ; of to n er’ IS oo! Sasa adie bce ener as tere st. ELEAF en Ce sata arene mmm me ee a, eye eee ean eek w ete et eer ers ieee Sa a at Lot No...--++++++OAD Cetin Ty 8s ails Cass docs ae bess saw tetes Aken Grave No.... Re aweeoe Total Footing of aay ye i had as pine $7.52 Pies svahoaee tes oO . Section No.....2..--: peed * $].-. 7 Balance....... $I. 74 Diagram of Lot or Vault «” Owner.. -.++++s0t+s2 25% . Entered into Ledger, page.. .. .or below T ' . [} x . . .