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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL Wotal Nos. v.ci. sceawe cease Yearly Now.. 0. cc cece ener ee Date. . angatad. oan 19 Name of Deceased. . laadbiaa. Yridlasons cheddeboe Hane het ee pee ee Mibiettis. Married Single Widowed Divorced (What Race) Residence. fakes deewid. Phe jae reveled ce tal's nods eisixieck thes cr ial eae Seg leer opie Des se hq ae ~ Charge to: . bi cha cled atlpret ois. be PROBA 5K ee see eS omplete Funeral. .... -+--+ eee eee eee ALR. eps MAPCAs ann «ot ssn tne Casket... Rien i 2 errr ore ABO Order given se 2 1 eed. WZ 7, ee Burial Vaultcor Box’.. cs sis bcees cate eh aR (or informant) ‘ (State Kind) How Secured.:... Liege dNacdae cee wie htR teeters e165 eg Embalming Body tees (Name cf Embalmer) 19 ya 8 Gasp Ona: ie areuens ib. Fike Occupation ..05.5BTC. LORIE eels Barber, $...... Hair Dressing, $....-}]..--.-. . (Social Security Number) . Dressing Body,$....-Underwear, $...]}.... Name of Employer......0eesessesereeeererse rece ER NE TOWN Sosa ales Viarsoh cat eek ene See's sv > es (State Kind and Color) RCE a ee ose eisai cena aie «els aegis oss wi) aie aletars vi nvarvner te Slippers, $......5. Hose, $ LO a ae Date of DeathZZ D-L ole -. 2 EL) _. Folding Chairs, $.... TP AN PAULIN, o's = & seis stifle ces a (Hour) . Candelabrum, $.... Candles; Soca k icles Hee a es Date of nin chip eT IRs cats) Door Spray, $..... CUSVGR Be os Sa eolaeo eee ke hip J f2/Funeral Car, $.... Ambulance, $....-}..-.. vitae ea a "ree" "* GMonths) ys) Limousines to Cemetery.. . OG. nd ames be. eet Date of Funeral. 264. tgaued, 242 San.. 2.Oc. . Autos to R. R. Station. ... Se.. shee ; (Data) (Dayiot Week) (Hou) Getting Remains from..... tics Hata es seas eda Services at“ V.7 ELE AAA AF CAA CH.. Taking Remains to. ...0eckseceec eee ee effee aves 4 Clergyman AZzx l Dipncesns FE al ie nee . , Trip to Coroner's Iniquent . 2.. ieee cnn ee cents , 2 O59 yeh vering Ok GO sits.) misses nis oats ere e seuleerad Byes see ‘Religion of the Deceased. . . [ee Biv eeeseeenes Deliver Flowers to.. ..cecsccececececeeceedeecaees Birthplace .... gee ® Qt, Pe we eeneal Removal Cherget. 2.6, 50k ise hsee es ee ee ef ves s ‘ ; Procuring Burial Permit. fice ede! abd bibiey’ CPC Resided in the State. . oe : S.¢ opfity or Cognty) . Le rid * (Months) ___Certif.Copiesof Death CertifieatesNo.— aa cesar Place of Dea Pall Bearer Service,$.. Use of Chapel, $... . ....[Cause of Death: “Lh Pans? ee b, ee ee ee hah dae rrr ee Contetburtory Caves.. oo iss'e coke sent eee coues Z Pe Util CRE ea epe eco . e ald canola a caicle Lessee niet et abate lace alale ale alsbanin els amor ep 1 ee ee aes Oe RN aeticy al ay A ga a Oe S pllle dene nik Gross Total for Sales Tax...:.--..++.++-$))--. Zé RATE TG os hens sa ss $e 3 hose ee wn 5 a EO re Certifying Physician. ZW, ‘ Lillia abe. ste eeeeeeee cess Cremation LSTA AES ao iene aa Pe ee amie Ce . ys line Death Notices in... Papers. 05.. cfhes=<-. . b rages eee yy, ce ne pants they ee eh eee in alt cope Ce a Name of Fath ne Ha AACE"! Bowers, 3:20 Palms, la Vo 5 . His Birthplace CoboadePrides Ueaw'gae w wiets Rental of Tent, $..of Temporary Vault, gee, Nepeaneese 3 we ton Opening of Grave or Tomb........+--. [-+--+ Maiden Name of Dine Feta. as Lining Grave, $... Lowering Device, $...]]...-}Her — i ee prevent tne Outlay for Shipping Charges. ......--0-f[ere eee ef Motor : Clergyman,$... Singers,$..Organist,$... . .--.--. aap 5 EMCb/2 “a Zo * Morr } Tickets, aaa ae AeroService,$... }.-----[Sie of Caske 0g : Sx carota LA -. Telegr., Phone, Cable or Radio Charges..... ]---+-++[Manufactured by: AN) Ya Pgs a a 1 og 0 ¢ues o86 ae pie wees cle ee s-0 8 5 offs 000 60> Be of town Un er’s Charges. ...... [--+--+ Se em am Sc torn Oe core parted ed. Lot Now .sseseseeesncee . ee Grave No..sccevcssc cess Total Footing of Bill...........$7 YZ : BME Ls. to kas imac c Wes wou eke hse eekeewl $i. -.-.-Section No.......-SSS Es — : eee set r Balance.. © a eo $ seen 2 oa Ts Diagram of Lot or Vault Owner. .---++++e+seede es Entered sntcs Ledger, pase io ae or below. j TRS) Se EG . mmm Ea) a es Sere