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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 tg Yearly Nose. osc i. cate tees Date.. a oe § td. : eseee R bea Age . t Baakate Charge to:$ Ui jp 7 cee oh pe e249, Address, . Wa.. : pes . . cei 0 acoadad .. ial Vault or Box . 800-0 tescssofecse fp UES Embalmi Bod (State Kind) How Seeured..: .., Sab GAtE on os se bbe cob onc caws mbaiming Body ... es sacar Nakina os . nia . Occupation Cpt, I Ore ra" SN te Barber, $...... Hairressing, $....l}.... . . Wocial Security Nember) . Dressing Body, $..... Jnderwear,$...)..2.4., Name of Employer.....€0. 0.0.0. 0000sseeeeeeeeees Suit or Dress.. 2. 0.9.53, pn Bi eke Pik eee (State Kind and Color) PRIMI go ca Sle a og eae as gammy, oar e eenighl © ghee Slippers, $....... Hose, $...:. MIS PE eat ‘¢ Date of Death. OA 6m Sa 2 /. 1 fKC 4 Folding Chairs, $.... Tarpaulin, $2.. 0.. ues ss na fate) (Hour) ” Candelabrum, Bi es SCANS ae cs ee ae date Re Date of Birth. i oe a me pie Pt eae Door Spray, $.:.... SPONGE, Wik Povey iat Bos a eee aks Funeral Car, $.... Ambulance, $.....]].... oe sigh eo FE Mr ehige (Months) "" ” Ti ZR Saar, ea athens to Cemetery... = i a RR een NEVER aD mh: +i Ante OF VMN Is dat GOs cadet Cla dee . Autos to R. R. Station. ... MD Sie tans Bae v9'osera Weaate basse! ord Getting Remains from........0¢s0e0sHe wee. * Services at +f Weng emaing G0. os ck cs asc vc fees Segue ‘tp Clergyman: ALA gee Like Be slg nmi i Trip to Coroner’s Inquest ........2--]].. 0.. . Deaevewingy THOR G55. ire a. 6 oe aoe wade Sa Gown Deliver Flowers to.....cccscccuccceeees Removal [email protected]. 60.. 0. isccteucseee cau Procuring Burial Permit........... te Number and District) ——Certif.Copiesof Death CartifientesNo (State Physician’s or Coroner's ) Personal Service EET ONS Sari ah . ee it li Ee NN Oe O50 © 0 ORO:e O) Rie ORAS e) SO 4 Oe 00 o 0.06 0O 0G 0 60 © CREW ieee 0.0 oP: c ie ¢ eles Pall Bearer Service, $. . + Use of ae Pe 2 atest my A SeF OBO 0) Fe OS) 000 MO ONG 60 e 0-8 RS ei) w O10 o. O08 0 8-4 So 6) o eiibe ele ene eke < Gross Total for Sales Tax.......... $l.. PIS Outlay for Lot.... fcketiesaitay, Piva aces occa eae . as oot aan as Centtying P nvscian La A * of CRMMARION UO Fs S Se alist 2 Sepa His A Biles : . line Death Notices i es PRM Papers’.. oo. sees Name of FaéHer.. //. Flowers, $... Palms, $. Matting, $° ea ee, Ls His Birthplace. <. ofp, car Pears mS as Rental of Tent, $..of Temporary Vault,$... . .... ae Opening of Grave or Tomb.........].... a Maiden Name of vg ae oe ‘T Lining Grave, $..:.Lowering Device, eee . e Os Her Birthplace. .. CA0A2GOALOSUAT 8. oven eee. Outlay for Shipping , fa eee apy! Smee wi Motor}: Remains to Ficoamatanil, ee: _ . Gesyman, $F: PaSingers $25 "Organist§ ee [oc2ale Railroad Aer 2G ee S Gg Oe IID oe , road \iicketa $. 20aoe $20.3 )6 plane © Service,$. nla ecatelavais acer ohe os _ Size of Casket %/ Le bf, (lads om Phone, Cable or Radio Charges E : . ‘Manufactured by <A eaenamela Cr. aes Cash Advanced, . 2.6.. Ce dat ee ae “8 Out of town Undertaker’s Charges. ......J)--+++. < “nement at. Leceacretieel Ceara { Seng OH ot mn Under Gara. 00 — Z Bt eae ees 52 pare tr te i, fe Cele ares, erm ele Re es Lot No.. ...0eeeeeeee: SMO FRM hi) ees co cout eee Le ee — Grave Noises. kecs ceo Total Footing of Bill..:..5....... $4. O77. . ! F me ee OS, 4 MURS so s-scatel ara alle ce cea . lois ose es ob 17\4 . Section No.... os aia oaecaeeee Shr} eee y es Dilan of Sek 06 Vani Owner. .oe <5 tee te sce Entered into iedere, page. .’. :::or below.