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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 OFFUNERAL» eRe Rash Nod. goed ax ese e Name of Deceased. SAP Ede. fe red edt ‘ esidence. Reside ; 2 = Al AE? Mei Eh Married i a oe Aiirilati's umn wet By ee ge eas . D1 Widowed tLe ZOU].. Cisband Charge to:eran CAAA. FB Aa E Pal dress. «2. bone : : » ‘ omplete Af Kat Hct Order giver by.. iw LP CRTA FD for VA 2 Divorce "(What Race)’ cL] LE. Sia. wi etace tee].. Baan is otfAce, ee ee ; ey ni eit CD Single pate.. Lier ioe! Dale ead stl aceastacr cacls Pome haba: . Funeral neers L Casket.. ¢ Le TALS. BAVAKR... Vor ee SLE. -Y447--. Burial Vault Box :.-..... .or .000-coo, meats (orinformant) “(State Kind). How Secured.:... sruelihcsFASE fa tpt gee Bmbalming Bogy i030 e be ea ge ven pov eft we wld Se su aa (Name of Embalmer) ~ Oceupation. (OsLEE. pal sade Ea MI ae hye Barber, $.. 2.2.5.. Hair Dressing, $7.07. . . ..47 (Social Security Number) . Dressing Body, $..,...Underwear, $...]].... Name of Employer... soy ages ety cep ey 1 aly Reais Suitor Dress 724% Diehid Lebhacd..4 . 78 ‘ Wedel S5: 0 reer Date of Sain soy ; and (State KindLalu ee ke ee Slippers, $....... eee ee ee es ieeeBedetes, KAR ATAR oe “rane (Hour) Date of Birth. LEA. andelabrum, veeeeee ace ¢ ees . oe $.... andles, $.... Sear . aes LEIL Sate srl sale losevate ape « Door Spray, $..... Gloves, :$....0.501b eee. Funeral Car, $.... Ambulance, $.....f/....4. . same! 3 . .! Limousines to Cemetery. .[CER SERSRRA . Autos to R. R. Station. ...@$......]...04.
e: ane, Getting Remains from..... FOST ER3 Taking Remains to. .,... Leeper at nts cea . ORR Trip to Coroner’s Inquest ........2--\lc...-fBRON VOVIEE DOe 06 oi ce cx sinccctens ls ook Ac ; Religion of the pocenen OEE EE seve eeeevees Deliver Flowers to......20000Se _ Birthplace 7 (ihe. “Bn oe seen Removal Charges........-.stewi Residedin the Ze S te. oo Got 2 Ae Cod SD _ Place of Death¢. aia Aes ersonal Service. .. eT en ee . foment ; CL Ail ass telei eh tare. t peel kets, ea ce femme ec giceg . Gross Total for,Sales Tax.:..0...0.0.04. ae 6. ( 1 yew ns Procuring Burial Permit. .. sated “ead aes ale anak ek tate Number an: gers vi Certif.Copiesof pas rtificatesNo 2 ct) Pg Vii poeA Pa Bearer Service, $:.. Use of Chapel, $... . .... . Conun’od Death: cnt yen . Laine Hko Liste ete ey eee Ooting for Lots o.o Cremation ..:.2....0000: rea ee ee pen ae line Death Notices > eae Papers .. 3s. .jf.. 0k ; Name of Father. Z Z Epavate. ea ee ies Flowers, $. ©. ‘Palms,S. Matting, $. = Bee Fone 3 =, His Birthplace... Rental of:Tent, $ . . ..of Temporary Vault: $°5. 2. fiss sss oh i Lining Grave, $..:°. Lowering pers ig, Sees 3 * Opening of Grave or ee Maiden Name of Moth So. Hee Birthplace 1 ae Lb [tate = ne Remainsesse a iy . Outlay for Shipping Ghanges"eee Manufactured b: r Motor f LICKEUS, p.+.. . plane Diagram of Lot or Vault 2 eS . e elegrs Phone; Ca ole oF Radio’ taal cas lis an 4 Cash Advanced .**) -e-. . Out of town:Unidertaker . eens c » Laat ae at rakes songs $ Ss bide neoweoe ACO eran Size of Casket 4 OS& haeVadecgue ie so Pere ete Here! 5 oes 3 arses,= Nisuwes =a Seas