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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
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D Married ‘Oo Single PI Widowed (D Divorced
hie eae aia oe
Charge to:. Sle ai pga See Sa
; of : Complete Funeral.. ....--2. + sees $I. ZAZA . .¢
Address. . 6.2:
: Casket. Bae err Perr Es 4,010
Order given by.: Burial Vault or-Bex.. Danek BA wc waves L252
tate in
How Secured.... 2 . Embalming Body ... Ae ier SSeS mealies ~
sealers Pale . Be CHA.. Barber, $......Hair Dressing, $....]. ...-a
; S (Social Security Nymber) . Dressing Body, $.....Underwear,$.... . ...-Ei
Name of Employer.. . ‘7: ISO a MVMPPAABEN, ©» + -) Suitor DresS... ccc cece eect eee eee etter eens i:
e Kind and Color)
Address ....+++ 5. renee aay he Gagle Sal y wiaiales eth Sul aaah al ewer Slippers, $....055 ose, $. a SOaRMagiathiss “eet ot
Date of Death. . ee —LF#2, LIAM Folding Chairs, $.... Tarpeulin, $23. 0.2.3.-Li awe i
Candelabrum, $.... Candles $. ost cea ds sits os eke oh
Date of Birth Le. "2 SAE GL Door Spray, $.:..+.Ct ee pS) Skewes Bs
Age Funeral Car, $.... Ambulance, $..... . ..--a
eS ig oe 097 Limousines to Cemetery... Be ete a oe Re iia Js
Date of Fune : .. & Ow. Autos to R. R. Station. ... (Ce SE tus . el me ie
, Getting Remains from. ....---ceeeecereefeesenes a
Services at oF Vatna CMBR Gon ae fue S velhs cae were ofe > eae «Clergyman: :/ GZ AR. Trip to Coroner’s Inquest .....2eeeeeeesfeeeeees a
PP ist Be he sia Delivering Box! t0.50sccbile ee ccc e ces e eset eee Si
Religion of the Deceased. . H.-Z@; 5 Deliver Wlowers 10.. sc cs ec edsnccgervacde ssf oavess ay
Birthplace . . Removal Charges.....+eeseeeeeeeeee creer eeees bia
Resided in the S Zee Procuring Burial Permit. feb Sa ran tice Ally + 04 5H
‘umber ani )
Reichard iat the: Rae ___Certif. Copiesof Death CertifieatesNo. Br stew
cian’s or Coroner's
Place of Death.. 2677. 4TOA9EE fo cece eee e eres Pall Bearer Service, $. "Use ot C Chapel, $. ie ph =
Catosot Deal Personal Service.... Caos Cis esas aiatenea ns ave patel ceceere als ;
Contribetory Causes ei i.. ccc cn ene dee cde ne cee See ee as A Naam as TURN Olen ig alate cece alache MIPUPL ole, onlin cod :
x Tat Mee le aad Ca ate te cates bay ia Palace MONT att pc aud aa Gross Total for Sales Tax.....--.+.+4: . ee @. <
WARE eae FP RO cisnian ca selyrk oo ans eateries er eocidis ale eithvnes peacerwii A
Certifying Physician. Thc: chat he REF 2+ 5: Obsidion ceed PERLMAN ies Jtapmene SMG AE Oiniaree:
Wis Addcaa:' Re a oy er ..line Death Notices in...Papers .... }..-+.
2 Seoeay ak Sina eae : rcmutaneiebe: <. . ures ol a bois: 2 evens ene 4
Name of Father. . iat bei sl hae eee ee Flowers, $... Palms, $. aratienn Matting, aE igo is ear ee
His Birthplace.... Lev Peeretre velvety as Rental of Tent, $..of Temporary Walt; $2.0 ois cs se 3
Niaides ‘Maeno of Mother: “e es Lab “a opeting of Grave or Tomb.... fais pike ce «gH :
ning Grave, $... Lowering Device, $... }..---. Her Birthplace. .. : ge os fa ae Outlay for Shipping Charges. .......-0-fheeeeees ;
Motor Raine we 6 Shale A » an he Clergyman, $4.2. Singers,$ Organist, Se ian aE
ce BLE. oe? fay SMe } Tickets, Site wine's plane Service,§. <0. Ges. es :
Size of Casket7 Ei Cusgee: Be Aina food Telegr., Phone, Cable or Radio Charges.. Naere
Manufactured by .<J44-Sa-D ACPA. seage li rial any pea one Divide nceWin ee) Menai. <p'cihie na eg eer ens 4 sh
. ‘Cemi ut of t HWarges...s.ee celle wees’ f
mmm: racial. . amen, PE ae I oc 2
Lot No. .seevsees ee CR es ae ioc meat, la:
Grave Novis vc:c c.sidis diese ct ie Torah Reese of er eri ae ree ee Sok. 2 /.
5 gi eke ay =<": Se SAD oR Lia cand AEE AC grata ae
: Section No.....+.--aes : $ — 2
"SEES
BACB Ms ivisis ‘sin scott $ Z.7.\.
ah dete OWE. oh. dis eeecee ss ‘.++. Entered into Ledger, page...or below. 1
1 T . . . — .<. — _ . nba Ane a Wo 7