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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

cae ae a ie Was iets wibdiene ye even 5 >! ABR oe ete seeFe eee OES J
Name of Deceased.. bac, i ae Re ‘Ai Ae8 pin se aces!
AMEE, Sam D Single _, (What Race)
Residence. Bee. tay Vp. et BO Se pleas a ap sigs wit <5 68 Soom oee Lt eS aecA ped d
7 ae ote Bah tye TN: Complete Funeral..5.... eur ee $1.22
Bie oo pegs Casket.... OTL 6 8 Sea he LR
Buarial Vault Ge Bae ss ce hus sghtuens cos ME. ee!
’ (State Kind)
Embalming Body.. 00.. vgs codectesccle cca .n
(Name of Eaibline
Barber, $...... Hair Dressing, $....]]....
Dressing Body, $..... Underwear, $.../].:. adc
sath cc Mici reas eGR Ce Tete aa te Suiter Dress.. 0.020.. cece beceeeeee A. Ze
mi eiese sae ei'ere. #10 69% Hele Wie-etgl de woss celle Slippers, $ ae $. het
Date of Death / 2 0 Loop eect ofa AL), .. Folding Chairs, $.... Tarpaulin, $..... 0.0.0.4.
Candelabrum, $.... Candles, $......]]....1.
\ Date of Bi Door Spray, $..... Gloves, $c. SoS SE
Funeral Car, $.... Ambulance, Se sl diame. .
Hae.. ee Limousines to Cemetery.. . JE GRAM, Meta e, 2
Date of Pencial Ee . Autos to R. R. Station. ... oD Saas Ct: Ce eine“
Getting Remains from...........1...
Services a Taking Remains to.. 20. ..00..checcescuHe sb
Clergyman. Trip to Coroner’s Inquest ..........]...__f.
‘ ¥ i ik ise bc eee PO Ee PE ta Dei .
Religion of the ig, Meseeeees Deliver Flowers to......cccccccccecee. The Pe
Birthplace .... LERCH MIRED . EN eo Removal Charges: 000056 ie ae es Se
Procuring Burial Permit...........]]....L.
Resided in the Si er "( > ge te Number and District)
te U.S. Months), —Certif.Copiesof Death Certi ficatesNo. Meda eimi e
Place of ars, arated Pall Bearer Serviee,$.. Use of Chapel, $... . .... .
Catia of BE Ae. X Eacry th arate Personal Service..... tetebectes eee tees eee sen a
Contributory Causes. hak CAG Whe eecbepinip's alale cin'ale Mice ve fla Sais Caley Sei a cs Ue dG iG oad Mee :
Ani ghee AR sry Setar peur es Sie aie kai glee ont cea Gr ea er Be Teaneck BAZ.
Pike yo Ee 2 er spo ilaes
Certifying Physician. { kacaaen : SNR 6 Pathol ccs nie Giese ao 'G 0 vi Bhs See ee
His Address. / Grasse dase. -line Death Notices in. : .. Pagerank
Name of F owers, $... : Pale ope : Matting, Sh eek
Rental of Tent, $ ... .of Temporary Vault,$../. ....].
pening of Grave or Tomb.........]....b
Lining Grave, $... Lowering Device, $...]].... ms
Outlay for Shipping Charges. ........]]... ee
Clergyman, $f > <~ Singers,$ . -Organist,$...}}... 9. . .
ao Mond } Tickets, ae i ae “AeroBervice,$. . tessa..
Prclegr. Phone, Cable or Radio Charges PSEA SR ae
; S. Cash Advemoed. AN nas oss cack
Out of town Undertaker’ 8 Charges. Wie icie aig cure ema a UE
Interment at BESS ae Te oR Gee SAS RA ORS se were Ree ie D6 ale waar s BAe ee slolals
Rema Ge ee Sats Ds
Total Footing of Bill.... Pa chee a eS eae $ tod; E17.
Less....46 ue amine, Fees $]. 221%,
4
A Balance. He oe $A 7S] 2.
eae . [
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