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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..2eepgeees Yearly Now.. 2.0.0 Mi Date.. , Jers icity ienaced ra Name of Deceased Cruckl 4 ee: mga . 0 tc Ea NE Likehe oc cccccbes (Married CO Single (0 Widowed 0 Divorced (What Race) Residence. 4 accegeh =. Moved. Dh A ee oe peated eee} ae ee ee eee -_ OE 652% lems ah 6 nieinee, of Charge to: . Parsth ateserers “a $ ORLA cece ee eeees = ‘Adivolk OY Aethgs ag.! Ya Complete Funeral ..... 0.0.. e ee eee $3.5 4 , ty Pig Casket.. SA.. Marracerets. cs cee rere ees 3.33. Order given by.. Z.adh. 71 eatery. ..ceeereee: Siteiad Maislt or HOM 4 oslees vag oedeapee se dersane (or informant) (State Kind) How Secured. :.. (Phan. wee bls na death sake nae # hates Embalming Body ... A npn OR ERG (cate Occupation ... Altix PRAT A Aovedlins «a ob bees Pah et es & shesees Hair efits “e caged sdhogs Sa \ Social Security Number) . Dressing’ Body, $....-nderwear,$.... . ... Name of Empl yer. Ackoke. _ Thong. ++ é -++++.¢+-. Suit or Dress " ‘ hen ee Se Seren . i (State Kind and Color) Address . . . % Aakh..Y; ae. tah sPeiipvnls.s #/8iss8) 21 ‘Slippers, $....++++OSG, Sic « seco as « sicasie a. . e ranean Duis see $°/0 dow, . Folding Chairs, $.... Tarpaulin, $....--. --.+ : -@andelabrum, eats sts Candles ss.. sistae iy o> eotese-s-01 Date of Birth..4 Door Spray, $....+% Gloves, $...02-++-0f]-+: tae $79 . Funeral Car, $.... Ambulance, $....-. . .--hea Ra (Years) Rew" *“S(atontns "** * **! Limousines to Cemetery... ro = ey) Ae Date of Funeral. Jer Tea Autos to R. R. Station, ...-@$. 0.. eee effee ees : (Date) Getting Remains from.. :...see eeee eee efee ees Services at. aU Pfu. + Taking Remains to....esl ere art cine Sian these Clergyman: : ./9 % a Trip to Coroner’s Inquest ...--+seeeeee ees ferns > @a . ae Delivering Box to.... TY ides + © eaiee a sik * IIb ais 4 Religion of ie oe ESP ie : aR +++] Deliver, Flowers t0....seeseeeeseseeeees seen ee. Birthplace’ 2-2 athe. 4.2, 8. . Removal Charges. y,.+-ssseeeeeeereeeee cre pe ees neiee eee Olhing Satg. 5 »ProcuringBuval Permit. o-oo ssi puaias feo na bred "3 2 and Dis Resided in the State..,.; #96. Geist "Jigs" Obani #8 Certif. Copiésof Death CertificatesNo . .. Place of Death. ncn corel As mafectal . 4. . A2Pall Bearer Service, $. Use ‘of Chapel, $ A Ta, Cerise of Death: Als. Candyie, C) poate * cetdpersonal Service.g ..-eeeee cece ereee reese ete ee: Contributory Causes.....++Be lo eet whe plas wt. esiete voa'a's baie gin.eee «gos cudleleg ees one ee Spy oetly « ollas oie ns cvcceseucarssesavanevegersavititalggecsescseeegie se] G¥088 Total for Sales Tax.. +00 04e000e e003 af Outlay for Lots .... cc eee eee cece nsec ee effen oes FOVCROTRON ire oaks vo o's a ucewln so he ppt do 8 a oe Che e598 .+.-line Death Notices in... Papers ....]. -.-. Flac cece eee ene ee nese eeseseeseeeeeseseeneserer (Names of Newspapers) Flowers, $¢°.%. .Palms-$7 .. Mattimg,$... . .--Rental of Tent, $..of Temporary Vault,$... . .-Opening of Grave or Tomb.......-505 Lining Grave, $... Lowering Device, $... j.Her Birthplace....4%™ Outlay for Shipping Charges. .......-+ea o : $°¢é see Ptah q Bola! rice o>.Singers,$.29.% Organist, $4 & ele : J . sth We ? or Motor f Lickets, $.... plane Service,$... aes Size of Casket. soe. “cera balicee de ioe /dwab. gasses osiek. . Telegr., Phone, Cable or Radio Charges.... woes Manufactured by: danke -AASA. "es Oy sot ahaha sg pees SAL) Og ie ‘ ut of town Un er’ PS occ cites eh te conte a: rmerment at. here. Leg cvevvver (Sep Onto tov Undetaer ala Lav aed Losndlens-clo~ Ui Eblagflgngil on. tooe se locasagee ae ra y Grave No. «ckicelesk en erent Pik sy: pee den tices S. ] ad , Less se eel cligheis ole MTT OM, 5 isn't vanes eee Section No...sseeeeeee: , Wha sl a Sa desatt Bal AnGbic.. beat ats snore 2 $ ¥. Diagram of Lot or Vault illnesses ee 2 I