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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
RECORD OF FUNERAL
Name of icc ee Mag. herders Gasadereicre. eee Ce ae pla oes re Ld ioeth a
Residence: 77.2 <2, MAGILL . 7. A: LL MPa CM LAIR 0 saps aia ont WG ica 3 Lktara.c! Tee
Charge to: Zn. hy ar Pieri a: PH a ce sl ervle
Address.. Z7.£ KE. = las gb cece OPPS PUREE) is nia ee cede de wd oD &
Casket..¥ go RS Se ree 3/20
Order given by..0/7018,, $24 aA ds fre delay Sees oe Burial Vault or Box .;.24 +0.. c.0c0.004
(or informant) (State Kind)
How Secured. :... Fa AB eo Rrmpainiog Body.. 2 ok od sca cede sedate af
:
(Name of Embalmer)
Occupation... wy See 0 Mir a Mery Barber, $...... Hair Dressing, $..... ].... od
Gocial Security Numbers . Dressing Body, $...... Underwear,$...]).... =f
Name of Employer..........ccecceeeeeeeeeees PA OP Os oa 5a ices ue. eed ig ws ged 12
(State Kind and Color)
Address SO e 10S 8! 2:01: 86! 6°9 9)6.'0 6.6 1@ <0 -0:16.6 WIS Slee BETS lel ely ouete Walaa els Slippers, $ oid teins Hose, $. Ase APU Soper Ey cai . Sor ow nee i
Deke of Desth. Coes =. BfPR. AR Magan. . Folding Chairs, §.... Tarpaulin,$.....).... .
@ (Hour) . Candelabrum, $.... Candles, $ o.oo cud. albee cane bd
Date of Birth.. (Ze.. 2. a Ie, «niet ee ace Door Spray, $.:.... OVC Bs '.o' 5 nue vd
hoo bj og — Funeral Car, $.... Ambulance, $...../. .... oo
sees Na oe a eee S98 eS Pip aii ee P ( “a "Arietta Limousines to Cemetery.. . OF. i es ee
Date of Funeral mes aofetd V4A... oe Fi. .M. Autos to R. R. Station. ... SS es oii wa is
Comte oS _ aay Hoge) Getting Remains from...........].... Ms
Services at aces. Chaageck. “+P Vakng Hemaing (0.0.00.. os see eess dace cate.. w
ation: pion: GE Aaa eae Trip to Coroner’s Inquest ..........f 0000.. a
Addres BOY EOE LO 55 ois oo wes Sis o's ono ne
Religion of the Deceased. Mite Dette ee ee ees Det ver TIM TO. i. 5 sine nc ave aces uacen hes 2
Birthplace .. LAZZCAATAAA eee eee vecetcceee Removal Charges.... sabegiaie-t Ny ele a ain ME vn 9 res
Zaz Procuring Burial Permit. . Gilead sie Wis pacgans Het + aes
‘ segiagenh acini (gt OS eo edals Sad ity or CS as (Years) Lhe ". —Certif. Copiesof no ye . te
ician’s or oroner’s
lace of Death.. 4. . “fp eae. coe ccccccccce cece Pall Bearer Service, $.. Use of Chapel,$... . .... a
ag Cause of Death. Cneraseg, fe ae Lat Personal Service.... etttteeceeete eee deeecees
Gross Total for Sales Tax.......... $].. 4.12
Outlay for Lot.2¢ auto blars Hada.. . 78 1E ¢
OO Fea Cee ee aes: mamigis oe.
line Death Notices in... Papers ....]].:..
of Socata scatiat altel Giada diodes tnt istetee pcre te be
Flowers, $... Palms, $... oe Matting. ns Teleers Coh ss
Rental of Tent, $. at Temporary Vault,$\../].... Jes
Opening of Grave or Tomb.......... .... Bice
‘. Lining Grave, $... Lowering Device, $... }.... ee
Outlay for Shipping Charges......... . . ites or
Clergyman, $4.72 Singers,$..Organist,$... . .. FAC «
Bist Radvoed } Ts kets, Aeroor Motorf +ickets, $.... plane S€rvice,$...]].... ats
‘. Telegr., Phone, Cable or io Charges..../].... ae
. Cash (Caen pag ari: Pibwpe eRe Pes ae 7.14.
Out of town Undestziker's Charges.. 2S hc Se: Sle
ee er ee ees
Tose OOO BUN pe sss Cac ee ol $3.58) .C.
i ae pres. cdl sl.. 25)
I : a3 Balance..... ee SEP ISVS
Diagram of Lot or Vault Owner. .. pressed seamen Entered into Ledger, page.. .. or below. yi