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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
Name of Deceased. . mee A
aw O wi
Residence. hoa. ce Rag ha aie 5 :
Charge to: Lei2e. capa»
RECORD OF FUNERAL
MO Fak ease ale was Caos $I. eX, £\7
ase AOA, a Y ORIMHLE eee O08).
Order given by. 4 psf oe >) Eemtied Viste Gr Weta oo 2a ioe yen nA. sa oka Saas
(State Kind)
How Secured. :.4.<A@AVZ4E i.e cece ee eeeeeesss+.. Embalming Body ... Giada paige Be
RS LS, Leech, OL Sener es cena Hair ein ae 5 ee :
um) ressing Body, $..... nderwear, a) =e A
Name of Employer“a@peacaa Leelee. i treet Suit or Baess 67 Ab Doe Serge: 5. come ee
(State Kind aneCoihyocaeot 8
PO 6 Sct iach Vx 0's AP Eh ede sco oi eT ke Slippers, $ . Hae SS me Hose, $ Pep sero! Safin . . VES
Date of Death. 22ea-220 #2. Bac..2,70 FN Folding Chairs, $1.. Tarpaulin,$.....])....).
Lizz EP pr (Hour) . Candelabrum, $.... Candies,'$. (5. <1 essa vw eA bo
Date of Birth.4“77a-z 2YLE. ee Door Spray, $..... Glove, $4.0 Ue
ms i cialans gcFuneral Car, $.... Ambulance, $.....J}.2..).
Age. 7. C=.. Om aaa peril ays) Limousines to Cemetery... Oe. ae
Date of Funeral, Yor: 28.42 ~ Yas.. 2. w. Autos to R. R. Station. ... NOS a eee, Cees seks
ee (Date) tte ot Weak) (our) Getting Remains from... 22.. 0c.. e ee esctecceces
Services at AYA CfELL FZ Laaartec .E Heageth. -«f Taking Remains to.. . 0 wi.. csescesececne css.
~ Clergyman flew Ly, : LA#ke : 5 Me oinegt ee Trip to Coroner’s Inquest ......... Pes Geedetae ZA
ie ie se Gs eee 3 DOM YORU. BOP US. Sikh ol vedcceav eck he.
eligion of the Deceased. . (“22 ZLE4AZET...... Drelrver Ptowers. to. <5 o.cs ss deus ceones aes cc..
Birthplace Caicdeag he Coecanah: C:.. . Removal Charges....... teen . ai Wh fh
Zhe Procuring Burial Permit.. . Ne Meares Demoeeae ot
viceartaicen diate ues seine Oe ao si sin" its . Corti Copiesot Death CertifieatesNo. . ..)
Place of Death KZ ¢# TACT ee ee oe Pall Bearer Service, $. . ” Use of Chapel, $. : 5a, .
ere Personal Serviee..... ee ee be
. ap Gace, LIEGE
eae L\F%
Ns aS So eee a te naee AMOR, jean, Sn nage? oe ae
Bis Address, 7 oy line Death Noticesin... Papers ....]]....[.
. Name of Father.. ra Se ‘. Flowers, $... Palms, $. Matting, ba SPOR . Ce ageentaig ac)
His Birthplace. . wie alae ee Singin ke tubeniecs Rental of Tent, $..of Temporary Vault,$... }... . .
Opening of Grave or Tomb.........}}....h.
“Maiden Name of Mother ‘. Lining Grave, $... Lowering Device, $... . ....f.
Her Birthplace. ... (4ZAan cece ccce seco: Outlay for Shipping Ss Re OL IES Sule ate B.
He") naman AOL BEDE. . eee Singers. -_Oneaio 8.00 df
Motor f 41CKETS, >.. ... Pe as ve . ias v0.0 0 fe
Size of Casket? Aedees Marte. 1 Xb Seale. Taeen “ag te Color and Number) egr., Phone, Cable or Radio Charges....]].:...[.
‘Manufactured by XK Cae we =p Barnet hee: \&A Le. TT se: pes rpiasgee' ‘ se wt ona Sey) sels seer ahe. eoaio ate aie mies bore) oe
to er’ eared re eyciaiy Se
Interment aaa al, ena a : ‘ Nee ices : se die. ert Sie Sees Be airs Be
. Lot Novo. Zovesssesf 2 Maa ea TAL a
Grove Mo.. i, os Total Footing of Bill.... essai vg Seage $.4.¥%2. .7
Ne . ea genie eek i FT IES Soph $I.. 3/16
Section No........Rae —_— —
Balance. . 20.5: <7. $1.67 9. ./
Diagram of Lot or Vault AROS Ss tis ce Bae ava ane —— into Ledaw. page. ..,0r ips eect
ee . ae = . = 1 7 . 7 TAF