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Collection: Original Records > Death Records

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

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re) a . es RECORD OF FUNERAL _ TOGO, obs yids ce eee Yearly No...... state, ca be Date. .@ oe) po Me ie ¢ 1¢ Name of Piscenas os Uaelaecck. ie =: aE Shite de.. 0) Married DO Single DD Widowed D Divorced (What Race) Residence. . x ile TOS Gem geS ac? eee cat, a te mar uaetameedvety ies eg ne Charge to: fotwo. At.. Meith. Creda etnies wiles ee eeu ren peewmem Saree wsdergZ.5., Te Mile ee eh Gre. Complete Funeral . wncaininninnnececans” * ** el el ee, AS Seay sh four > ag bes Cf \ cig eee ge Casket¢oq LCA AACR. oo ccc cece ceeeee FEE Order given by eee Tag wre Birial Vault-or Box. ee ce (or inf ant) (State Kind) How Secured. . “ZZ. get Uh he ape eet Pp Ee Embalming Body ... pecans wea i je ergsssre . SME er brew Oschipetion aces emir SE EAL CA-SFF (9. Barber, $...... Hair Dressing, $..... )..0..]. ial Security is ae Dressing Bod A 2 Seer ar Underwear,$...}}..../. Name of Eewioyer Sears Sve Lowa ZIM suit or Dress i : NC Ae , EM imei cet iB (State Kind and Color) Address yee tele esi isigiwe eae © +s Slippers, $....... OM Oe ie eee Bie kes ks, Date of Déath ret G2.. 224 FG Folding Chairs, $.... Tarpaulin, $.....]]....}. (Date) (Hour) . Candelabrum, $.... Candien, $. oo. aisss Wes ccc ook ate of Birth. 2G WAERZ,: Tee ee ee Door Spray, $.:.... Gloves, $k os classes ek. . > ae po 2 Funeral Car, $... .Ambulance, $.....H....[. uit z an Osi re, (Days) Limousines to Cemetery... WB iss ask ib wR Oe Date of Funeral FE BY AF7..,2. Vig m. Autos to R. R. Station. ... See ex a als ow Sa cee (Date) PAR (ont) Getting Remains from.. 2.6.. ces cael. ob. service'nt Coleco oi bette eens Taking RARE TOd os is oc se ob Be Clergyman: Sioa OF AY tlw be AV Trip to Coroner’s Inquest .........-.11....}. ee Debvering Box t0. 0.50.00 ei poetic cecese Fas) Sree Religion of the Deceased. Cheedn Zain tebe eeeees Deliver Flowers to. oi.. 0. 0o seas css ens sys: Aa hae Birthplace sew Aid, ge. AG and. ..;. Removal Charges....... caida kvm el aa yeas 22 Oe yy, Procuring Burial Permit. lbs Ge laatieg SeubeT tir P= Resided je: the State. (or U. Sor City or County) og ow ‘. __Certif. Copiesof ag (er eal Mena . ae Dares cian’s or Coroner's Place of Death: Lo ee cae mai Pall Bearer Service, $.. Use of Chapel, $... .... . Cause of Death: <= Personal Service.........ccecceeee 2) eee . Contributory Causes. 2%. orcs ey ef ‘ Z. SAREE Un Beis rea eM: ol alls ee AeA. “/, Carbarnmaice. Gazceay Gross Total ies Denes Ti et ee $]. ... XI. 7. IY Cfy2/72 OME BORER orice dea fd och oe a Bape ie = § Certifying Phy (bh te aaed.” ne Cremation salieisigtaas < ie ee eae Dee ast Ee uf i His Address: :. CBZ ae 2 ae ..-line Death Noticesin... Pape. 6 See: ee Name of Fath gate ° 1 ag: a lowers 2: Palins, Fv Matting, § Soe Ue a es ee His Birthplace.... . roy #2. MAE ec ceee, Rental of Tent, $..of Temporary Vault,$... . ....]. wes Opening of Grave or Tomb.........]]...-b. Maiden Name of Mother.’/ ‘*"! Lining Grave, $... -Lowering Device, $...1]....}.. Her Birthplace. .... Outlay for Shipping Charges. .2.0..00...]0...0h. eee} Bivins Clergyman,$... Singers,$..Organist,$... [.-...b. "oe dont rickets, , Ae Acro Service,$... f....). Size of Casket 3 . x : Telegr., Phone, Cable or Radio Charges.. 000i os , Manufactured b Cash Advanced ©. (650, 0740-0 Bl ele/eiel bum 0-8: Bh¥ te 680.18 ees . es a : Out of town Undertaker’s Charges....... ]....}.. Interment at. Fe SEIS SL Ree 85S LOMO Te MS SST Ure 6. oie 6-9) BNO CS lbh Bude. e Cele EY. ©) Bielece tabs c sai gag Sera ae Total Footing of Bill.....2,...000. 1.4/5.7 Sax. Joe sy ft .-. Less. 2.. wee BA cinncrtl. siigaiaten $}.7 A. Be AE ae OEE spins wre Pighies s 5 -+-]. Entered into Ledger, page. . arecOr beloWren<. }.