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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
. Residence. . CAI: La
pharee to:. Kite. ae RAPE. EG : $ r. AA ae a Se cats 52
GF fa et Sy Gepmppbete Feta co aig: cre eo ee sen os oo 8 oi SZ . <
"Address. . fed MEAG. hie, pied Brie 2 ——— :
eee Khaw Zp on eee WAMU «oe LA3. 가
: "Order given by./4 ne Cn. had . Burial Vault or Bk.. RS SS ates ae
‘"How Secured. :. Pig ge tI Sey eee eee Embalming Body!” Dees She Sa Ran ey . claed e"
ae ee -f me Name of Embalmer)
Occupation . . OS RTACLLMUTL ene eee Barber, $...*:. Hair Dressing, $..-.--]].:---+. ~ Jf Sorial Security Number) . Dressing Body, $...-.-> Underwear,$...-. }..--"Name of Employer....+-+0-0seeeeererertrssses ee Suit or Dress..----esesserpragag feb
(State Kind an lor
7 “Address Doe re ciavek hinge Maik whet cle mR ole plan ene ns ap 58 Slippers, $....+05+5 poe Ba.) bocce ae ees
; Date of Death. ge Ber A BAA: ) Folding Chairs, $. 6-66. Tarpaulin, $....--]]-----++. (Hour) . Candelabrum, $.-.... Candles, $. ..05 0 60-fb. ces
Date of Birth. A+ Lh FLE...\ Door Spray, $ . vin tiaete « el St en reaceaicts ©
‘ ZO a Le aus, gp ee Funeral Car, $...-Ambulance, §.. 2.. Be. <eee+b
coun LB ae "4 (Months) . (Days) 77 “a Limousines to Cemetery... oe Sieve yy’, eR earn
putea nen Biter en tale Ee sg eon ees faeieas Snes Pee 2
: Avge sie a 3 haze 2h.“ Hou) . Getting Remains from. ...:.++2+eeeedereeeier eee:
Services ats: tH. Diecast Petro se cree cece reece sees Taking Remains to: 8%.. 6.. e eee e eee ee epee rere
‘Clergyman: : Mea. age Bhnaefaeacs Sie Trip to Coroner’s Inquest ...++++++eeeeee fee e eee
—D Delivering Box to. .... ee eeeeee ester e eee eee e ed:
Religion of the Degeased. Vhs fear 9 seecees . +++] Deliver Flowers to.. 02s. .seeeeeeee eee cece fees eee:
Birthplace_ Pe Ee eS 2 i Vedi . i Removal Charges 3608 e0 We cee ewececesecererse Goo
se o 2 Procuring Burial Permit. . flee ieee Clea Sanaa
um! an
Resided the Beste. SS ph etnies * ‘Gran iintins . —Certif.Copiesof Death aecaaes ona tae
Fj Place of Death. LE: Wipe Biaelicl stent on. +e Pall Bearer Service;$. °. Use of Chapel, $... }..-+BS: Cause of Death /. ange he A ih. Personal Seryice..-,:2++sssgrevrcrscesceeepontess
\ Contry Conse Adeo 0 + Aww eee eee tg ep ie wees ae ie SS PC er aS . Seana
Be ie de ales cod gelsa puke ee dines Nags eee oS Cera Fog Gross Total for Sales Tax.... EE APES . ae J
é Outlay for Lot.... Delbdis 0g sites ey ss hs es tien
; _. Certifying Physician...------) cp Cremation: 12 ee ee Senna fh oe ees
js Be j .line sieaesor « Notices in*>.,.Papers ...--}]---+-+:
eae ee rn Mie Pa eee ly ale gid > eon nenaerly. Horm. Bea. ae ey
ames
Name of Father e727 “On Flowers, $... ‘2 or” Matting, $... . -.----His Birthplace. Rental of Tent, $.. .of-Temporary: Vault, $... . .-----Opening of Grave or POMP, «os yeas eos sine of ones:
Maiden Name“of Mother. “74441 ~-. Lining Grave; $... Lowering Device, NRG, Sea
., Her Birthplace. EPA Le, ns Soe for ae Charges. s<i.2"). cs 2.. ia: =. TV Neier
-. . Clergyman,$ awe wok seQtzanist,$: $< hooky Wnty
4 Ralioad \rickety §. $. g. cikaie Sh -_ plane ane Service,S. AS
oor Telegr Phone; os res es ain!
Cash Advanceden's «ieee a ee et ate aes 3 hp a ee . ee
Sn eal
Dee es ot seneee «2 eSUpee?
Praia ies : Lizcc.ornd. eh Neko t
Balance: ..227757. $13 4.4
ee res See or below 3 lar
eck i 3 Sa.
sana Amount Paid GE ae