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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
Total Was Sole lacc Geta k eMW Blog oso wes hen. Date. Pov cngons nails
Name of ety Ce Z GLAAD QAAATOA . ccc eee ene ne ees WZ i See
Married Single Widowed (0 Divorced (What Race)
Residence. aftlaes lat lat a is: Et bold ies ac cicamatgaaere . Ptarrused...
Chaeap . (Are. ea" a Sah eos a s].297
be Waneralosc biaccsiste waar os op NOS
Adare, Vide Le ss z Pg Plercuda CA . a. =
we Casket. .¢. (heared Fela: sacs Hees ZZ2
Order given by. eae. chien. Cfoagc aana veeee Burial Vault-or Box.. 200+. -caciheviosssesePiacues)
(or informant) (State Kind)
How Secured.. #Pek: oh ee cbs eg Embalming Body ... dead ctemicey
Ocipaasbnleas isin SIC ALL AE 20.. . Barber, $...... Hair Dressing, $..... . ....
(Social Security Number) Dressing Body, $..... Underwear,$.... . ...
Name of Employer....+-++2++.eeee esc e eee eeeeeeeees Tad Le ene ERT Peer eg rie. Mek a9
; ae sire (State Kind and Color)
DT aS cea ag Sears TI Sl ATR AD USI NU, os Pol CMa eerie me Slippers, $.....0. Hose, $. ee ae ee
Date of Death.’ lang LPH a ... 424.@ 077. Folding Chairs, $.... Warpaulin, 9; <i: -ueeal. ewe os
(Date) (Hour) . Candelabrum, $.... Candess So ile ie cvs teres ase
Date of sini Gee. Sie fie fo 8 BRO AN Re Mr a Door Spray, $....Gloves, $.....-.]]...
ae) = Funeral Car, $.... Ambulance, $..... ]..._puniisea & Anos aaa 4. (itonths) * rae ae Limousines to Cemetery ... UTS In eee
Date of Funeral Loe. ALEKS . Pho a MONTES AC AM. Autos to R. R. Station.... GE AUR Pl rar O . eaten
Date) (Day of Week) © ao Gothing. Remains Enna; . y.652.6o. ss cheats Bes he
Services at. i seaman aad.. Waking Remagin® to..) secs. te ote eh acing Ge
PC loud elie OU el geo ey neds ae Trip to Coroner’s Inquest .....6--seeeesHew cee
paras (Address) Delivering Bot tO. cd 6. ee en way el cee a ee
Religion of the Deceased. mene ks beet e eee eeees Deliver Flowers t0....ecceeeeeeeeeeeeee ef cee ee
i Birthplace OA rs, Ee a aru ane Removal Charges ook cc icin eee lace Issn
g FZ, ; Procuring Burial Peretti oe seid Wott
‘umber an )
_ Resided i in the State. % U.S. or Gity cpCounty) LF hiss ‘. ___Certif. Copiesof Death CertifieatesNo. eeriegntt
hi r FPiace of Death. ad 4 nico ese fancies atte Pall Bearer Service, $. we ee af Chapel, $.. om eh
» Cause of Death eas 7 2 ies ie ; LZ, Personal Service. 003i. se ccs coe eases ealles ear
— Contributory Causes ie Loa re ee CAC i ot ES AOE DRS SME MEMEO peel! . hE eee
RE gay. , pe SP, Sy eget Gross Total for Sales Tax.........5. . 2
lee Se A sot P Caapetl cron MOB MLAS Ee whee aus ottawa! Bxceel os dtigaae is aserelone ies cae a
ysiciand 7 Sig as F Ya0pet4) Cremation Feta ain ason ete Mans’ s clos yew. sore Be Aan RE ge le
adress Licacetle. C Sa es Cates poe ..line Death Notices in... Papers .... ]...vi ZZ A872, ‘. Flowers, $... Palms, $. ae ” Matting, iis snacdibe Sates
3 Birthplace. Pe a j ..} Rental of Tent, $..of Temporary Vault,$..]. ...
a si Opening of Grave or Tomb.........]}.---“no bee Mother Ze +*-. Lining Grave, $... Lowering Device, $... . ...
or Birthplace Ue asic Sis ala atte: seein Outlay for Shipping Charges. ........]].--.5 5 ED PPO oe Ei Clergyman,$... Singers,$..Organist,$... ...
Railroad \ Tickets, $..7¢3. AroService,$... }...
-. Telegr., Phone, Cable or Radio Charges. ey eoieae oe eal . OF eae a
m9 SES Cash Advanced: .). ; aki ieeie eee . eee