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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 Total No.2? fel ~ Yearly No. Ep oan ee See ee Date adel.. Sc eT Name of Deceased.. 4£2AateOSe LEV GFBEEC ccc cence ncneeegpeceees as Leh Bow JF OGs o Single (0 Widowed 0 Divorced (What Race) Residence. ee: o Sg ood aay Pearl i dels ares 2 ae aienageest aged vaky ylmeavime CEs wvnwis et ces _« 0 Charge we Lice. Zoame Pa ita) Ue I mee re 1273 Address. . . itn Micctaad DML ate ee a wteccunles Contre mee so: —<—<—<—< sgh i Los Casket.. igh C00 bed. 5. c cs cece seen. ARQ Order given by. acter Licarria COTE worse eve sewecne es Burial Vault or Box ..--2.c-gageccetett cece 1 Tman' . tate in How Secured. ... ee eS GR ify ee emp etetr Panbaiming Body . i.. ov cr ncn ce oe bee ie aes . (Name of Embalmer) ~ Occupation. . BPG. i et Cede ep nt ayant Barber, $...... Hair Dressing, $....]}... : (Social Security Number) . Dressing Body,$..... Underwear,$.... . ... Name of Employer re Level anes el edes wibioyanot neki era Cele wie nia ate Suit or Dress “2 (Shack Srna , AL. 5 (State Kind and Colt) **<<4F ~ PANT seo cd vncedenecewa cid bo a Hews poelieeeie tak Caceres Slippers, $....... ee eee Ree Date of Death. eT ALE LR. 7/0AeF ding Chairs, $.... Tarpaulin, $. 2.0. fiaks.s (Hour) . Candelabrum, $..... Candles; $0).5 fis. eck-lPowes « Date of Birth. . es ieee * ORF oiceidle e488 64 Door Spray, $..... Gloves, $2.6 ova. ea ees sak Funeral Car, $...'. Ambulance, $.....][... 2. oc PSI Pees ’ ’ vine Nahe Ze en aire Ee Months (Days) Limousines to Cemetery... OS. oaths a. Date of Fune: ae a =e pier tea 2.70 ¢¢m,. Autos to R. R. Station. ... Qt wih ee Paget Wess) (Hour) Getting Remains from.........--0e{. 0. ee Services at. 1 Zhsa . Parsachs tee eeees Taking Remains toc.. iui. vices oe vine eclacdlfeas ose Clergyman: : ar te i ZZ: oamee Wis AA1.. Trip to Coroner’s Inquest ........+--{)... DGHVernouBOx (Oe oo ee Se os en ee lee Religion of the Deceased. . i el Deliver Flowers to....c.cc cece e ccc ee cece elec e eee Birthplace .. Gé eo ieee ae Removal Charges.... ONS PCRS Cea ee nn : Procuring Burial Permit... ees Spees pa et vee Remon ie Siete ae wii a iis] _CerttCopiesf Death CertificatesNo.— I.. Place of Death “Aten, TA ’ Pall Bearer Service, $. vse of Chapel, $. yt Aleta Corisoat Deainleebrcerraeg Te ie Personal Service.... Ree (ee Contributory CBRE etre = on en hea ee a ere need © eM Gots tigeoa (oar, Mire Staten oes oer ks i cee har Pie On cen i es aie eed Gross Total for Sales Tax...00...0000. st BZ : SCT gl 0) CARAS G Sa epee oO ieey UNE Reon oh " Certifying Physician, og gee tees ee Ce eee ie hers, Sear tie Address. Lp SPM ae . -line Death Notices in... Panerai. 0b. eae: MAS fA a Gli d Moeeesay type Name of Father. x Deore oi fo Flowers, $...Palms, $ "Matting, $... . .... His Birthplace. .7...5. C4kctétaate... ee ese. Rental of Tent, $..of Temporary Vault,$... . .... ee Oy Z Opening of Grave or OME oe go Tinted nn a we 208 __ Maiden Name of ver aca on : See ee ae Lining Grave, $... Lowering Device, TE Panrdes . SMe me ‘Her Birthplace..... athawd . separ Outlay for Shipping Charges. sagittis shee a 5 ep sy % ergym S Motor} Remains to. hd. Ke Siguwancese Clergy: an,$... -Singers,$2. Le reaniat, $2.41 5 oe 43 OF Co" oe . or iiroad rickets, $ $. aces eens plane Service,$ aie c/s sfbeip «es 97 Size of Casket 9 Lag er tage 2+:. Telegr., Phone, ‘Cable or Radio il Dis's cp cae eae oes Manufactured by .<<C/. Cash Advanced. .. A win ds Sees nate 5 aidiaik'g ve Self oe wee Interment at. . eer a . Diagram of Lot or Vault