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Collection: Original Records > Death Records

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

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os RECORD OF FUNERAL ae ae _ og 1 a aialiee Bee Date.. tacpededn. Bod. ee 1: ae see ere 06 Bib ia/0.in 0.15 tm psivile *]ass-e50\eisieie ¥isgldic alee atte <0 cleros ceed ee eae Residence. . .24...4.4.972 444, abby.. C)Busbanal]Wite[_]widow t ee = Charge to: 1 ae Le LE ee ete omels OFesee. sn Eas of F618 Sie Swe ae a Seer She ola e Salk owe 1 Aaa hl et RRs) Ue ote eed ea Fle Address. . Ob we, a Moni: head. vg ee Sabet aaah all 2 . Re As sete Iida t aly Pe ava peti on helt lds wae oes Order given by. . Ltr. Lirhp, bette te eres esereece dontial Vault OF Bax ssi sd Sos eee (or ipforman: (State Kind) How Secured.:... Calla at ed: wie aces Embalming Body ... Ginnc cranes CCR EN. a Se Ce i Seo Barber, $...... Hair Dressing, $..... }.... 5 Social Security Number) . Dressing Body,$..... Underwear,$...]].... os Name of Employer....... ea Rah es gle akg seis RUE TI oo oho nS shies sav ieesnti a ole ae ot PAE Ee oxi ea ee ey Sh Oe lS Slippers, $ Pe fee a da. $. — A pon rae ness lk a Date of Death. Cig ceed Livb2. ede Folting Chia 8 Tarpaulin,$.....]).... . (Pate) (Hour) . Candelabrum, $.... Candles, $......H.... $5 Date of Birth. .<4@ (. A Gl, oer is Door Spray, $..... Gloves, $. 65 5..0 50 Ro e.e 2. ee PON ees aoe Cala age bout FF Proa,. Pomeral Car, $. 0.00.. Ambulance, $..... ).... * (Years) (Months) (Days) Limousines to Cemetery ... GS ce eee eat a Date of Funeral. LEds. 3 24TE-. ro Re IL. m. Autos to R. R. Station. ... GES ea one, tae sy : ce Vea ves sag Getting Remains from.......... i Ue) Se Services at. mie Wieie saa. end is ieie ele sLeré ie Guane wieierel™ wrkte dw cldle a ab eles Taking Remains to Saas oe eal ree eee dees ame . Ora ee Oe eee oe OM pea Me ei Same Sal Wee baice co ee Trip to Coroner’s Inquest ........0.-) 000. =: Hei (Address) Delivering Box to...... SS Wisleie'aig-s Wipcthere raped. ton a a * Religion of the Deceased.. irene eee ccc ccc ccccecee. Deliver Flowers to.....0.0.0--. peers hae sh oe Birthplace .Z : (x40, Jacl Removal Charges.....0..ecceeeeee ce = R a le aie “PProcuring Burial Permit. wis'inme Sa Bia 4 we ie Sta’ ‘uml an istrict: pt ee rmscreay aides: Saas” “cated Rach a cathy ate ee tee” & Place of Dea th Ze (State Physician’s or Coroner's ) id L. ArH 1a Oot ++ +seess) Pall Bearer Service, $. . . Use of Chapel, $ ke ete ee ae "Caake obDeatis aac b1Aatf. “Cee ie an Service..... ea a ener Sea eS oe Contributory Causes....... Tea w ue EU Nr ih guia nae Recta dips ci.b1 2 Meme: Came ar am Nes rut Cawen due ras spe ahhna yee Ser tin caeluh coun Le Gross Total for Salés MRE: othe 9 Sin nl Coes . See vee ECGS S68 LOB eee s Sack ke GS Le Eo Certifying Physician A, Char. owl.. Cae ee oy be A ies His Address = $ At. Gi oye i ore a ..line Death Notices in... Papers ....H..6. es a LS Paes a sae Weeeie fice cae eit t teas pest ene oe Name of Father. A@eace (Rebbe ..eeeecerece. ‘Flowers, $...Palms, $ "Matting, $... .... ay His Birthplace. . eo es ae Rental of Tent, $..of Temporary Vault,$... . .... Ade mee Opening of Grave or Tomb.........}.... es Maiden Name of Mot colle oe Fis ‘. Lining Grave, $... Lowering Device, $...]. .... fan, ‘er Birthplace. ...2@¢2Latatice..cceeee Outlay for Shipping Charges.........}].... ait . Motor} Reals wee ee: Clergyman,$... Singers,$. : . Organist, So ee asa bg a: 2 Be ee bi er rf tickets, $.... plane Service,$... ].... aa ize of Casket . a open tee. ia ee oo Ge eae ed « Telegr., Phone, Cable or Radio Charges..... ].... . Manufactured PS eae ress sca eek eye oa Kel AGwaed i a5 eS. oe en oc Mees as : Cemetery; Out of sca unis pea til eee: mes Interment at. Lae A Cnactig : { Gromatery}... ‘ Ree: aaah eaey Preto ee pee eine) ee pre Sue ay eg Saree a cee ene ae Grave Non es . Total Footing of Bill.... ettseseeces eres $]...A1ae¢ Suction New oe Less.. PEGS feaigel Ung ae a eb aie ey cc pie ote . ee Ce on Gipeees . alance. 2.. cee, See Sas + Diagram of Lot or Vault Owner. . pits Ade se es 06a aim . Entered into ioe, page... or below. 2