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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

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RECORD OFFUNERAL»
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Name of Deceased. SAP Ede. fe red edt
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omplete
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Order giver by.. iw LP
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Funeral neers
L Casket.. ¢
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BAVAKR... Vor
ee SLE.
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Box :.-.....
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.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, $...]]....
Name of Employer... soy ages ety cep ey 1 aly Reais Suitor Dress
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Wedel
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Date of Sain
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and
(State KindLalu
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ee
es
ieeeBedetes, KAR ATAR
oe “rane
(Hour)
Date of Birth. LEA.
andelabrum,
veeeeee ace ¢ ees
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$.... andles,
$.... Sear
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LEIL Sate srl sale losevate ape « Door Spray, $..... Gloves, :$....0.501b eee.
Funeral Car, $.... Ambulance, $.....f/....4.
. same! 3
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Limousines to Cemetery.
.[CER SERSRRA
. Autos to R. R. Station. ...@$......]...04.
e: ane,
Getting Remains from..... FOST
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Taking Remains to. .,... Leeper at nts cea . ORR
Trip to Coroner’s Inquest ........2--\lc...-fBRON VOVIEE DOe 06 oi
ce cx sinccctens
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ook
Ac
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Religion of the pocenen OEE EE seve eeeevees Deliver Flowers to......20000Se
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Birthplace
7
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“Bn
oe seen Removal Charges........-.stewi
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Place of Death¢.
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ersonal Service. .. eT
en
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. Gross Total for,Sales Tax.:..0...0.0.04. ae 6.
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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
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line Death Notices > eae Papers .. 3s. .jf..
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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
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. 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
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