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Collection: Original Records > Death Records

Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

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B paealgit aa a Tétal 2 as ae el Apts Paltserate ls OUD 5 a « aooause nse cede Name of Deceased... Asavecdam ees ae CO Married D Single [X Widowed ee Residence: 02 047.6000 0 2 Vix cee vance Ga paee ec heel side's Beit Es, fia g eau ieee te Agee eer) ape <n eee f Tee eee ee eee. _ Charge to: ce Ree Makes « aod bes Gavia dale CEt cata iPo een ases Ts ee Address. . . 4 A aR Geb are. eM iis —= = = . aa ae St a eee ree Ss, SIS) asi. Order given by..2...sssese0. Y AOE 2 Te i 5 gi y chien 5 Burial Vault or Box .:; “aiethay Toren eee: SHow Secured.. ...0.3006 ne MOA ZIM Be occa avons Embalming Body ...... ese e0+core TN Reh, Ngee i rs (Name of Embalmer) Occupation .... 0:7 ses OLEH 00s. = Oe Barber, $...... Hair Dressing, $...-.]..-.J.., ‘i (Social ‘Security Namber Dressing Body,$..... Underwear,$...]]....J... Name of Employer.....-...se0eeeee sees eens eee. it ON TPO LS ole Lee gaa s is een Deedes beg = (State Kind and Color) 2 UMM cr 2ts ois, (0-2 ons SN mialewe's © ame hai 0x oA eels Gos Slippers, $....... Hose, $. ; ts aN te ome bap Re Tike ot Tenth ec Lf Pere aX 2. €32LE-7M Folding Chairs, $.... Tarpaulin, $.....]}....f..-. Z iis (Hour) . Candelabrum,’$.... Candles, $...... . ENS cn) (cian Date of Birth Fae et MN A ce, A Door Spray, $.:.... Gloves, $......]}.a Ee. ‘ Age Sie es ieee ae Funeral Car, $4 2= . Ambulance, $722 estan TAY 2.25255. Domoia vea . Yee) ae ee a a 9 Sr aie Limousines to Cemetery./.@$604...]]... 6)4.2 ‘Date of Funeral. 4 0. 6, onc. n. Zody. Autos to R.R. Station. -...@$....0. feces ee feces. i (Data) Pea Vig cea Getting Remains from..... Bias 9 MED) Se Mery “Services ab. oT ee, Wii, . Atta pectck steeeeee Taking Remains to........:. Se semen ARee Ey Clergyman.:..:.7: & Fe ze Jub ies 2 fe, Ee) Soe Ti, Trip to Coroner’s Inquest ....... Woe eT ois clone ga se cial te Ak (Address) Denveving Bor tos. ios. ed es raccccteemivae eo. sub Veo _Religion of the Deceased.. a Deliver Flowers to..:5..ecececcececcsceell. ccc csbecnes. Birthplace .....<4 C2, LOREM vp ynees fede tae Removal Charges.. . eT eee Cee Peer es Sree Resided in the State. 2 By A a y Procuring Burial Permit. Sis Sintel ead distie’ oom. z um! an ict srg sank ap "(or U,8. oF City or ‘cantyy* aod " (Months) . —_Certif.Copiesof Death CertificatesNo Jal eae: ple F ician’s or Coroner's Place of Death.. +. un ZH FEA SM eee ae Be eae: Pall Basrie Service, $.. "Use ‘of Chapel, $. ? On een Coat Cause of Death. +i Leckgeacinn. Za bed %. agen. Personal, Service. neh NG testes eee! Shuey Guia t ieee ale ee iE, Se al ree . ears fae ay Contributory Causes. ..4< 1 oe eae a os is Fy Ske BRGY cb sis nie e-nlclse's FUR See OMe ean) Tene CRRA <2 oe Rea Ne 4 sa ae Me gee Gross Total for Sales Tar:...260.0.te.08foo . , I eg eee Outlay for Lot.:... Ee aig Rate och fees aioe HBG, hort Certifying Physician. <<. : g Mhanails Badt. Cremato Ae spares SP aT te NNO hid eli by scien TBs aks ca cae o 9-4-0 Sine eRe es < oe His Address.. baie Lige & KOBN cts. --line Death Notices in...Papers...3.f--..-fee--. be, we 00—(—titststé—s—é—‘“‘it‘~i we ew OO ROO Ow ( Ra oe CEN . Oe Name of Father.. (alee = there *< 4 qaitvewe Flowers, $...Paims,$.. Matting, $... ....[... His Birthplace.... Chee. LIAL.. ae Rental of Tent, $. : .of irk Sh apt . ea, Nie st, Maiden Name of Mother. Binrectys ill tn lata Opens of Grave or Temb.t -etrye.... 2. eZ 1.0.8 /. Lining Grave, $.:.. Lowering ti Feber, Tees far ek Rer Birthplace. . a Fr a Kick Hd, Seeley tracer ee Outlay for Shipping Charges.-.. 8 00..:..]....[.6. Mee) Baan hg BLE, eG eee Clergyman, $1. Singers,$. .; Organist, $. wee ale ee SLAO Se of % a — Tickets, $.... plane Service,$...}].-.++-feeeee. of Casket 2H Gist Caizend af --+%:++:-. Telegr., Phone, Cable or Radio Charges.. >.. .. ). Re ee Miaifoctuved: Dy. . «screw od oc. e PSE s cca sedleb cc) Ce Cash Advanced.. 0.. 625.. eos Bue at ice wo eects ee Out of town U. ertaker’s Ch ESRI Serres Pa a irene ed Pian aan tlad, Seni Pah its ae ey S hare LACH: Ve dulce Cen MRD ah DE * Lot No. PORE ane eee . dates Tax : ‘ ; : : ; Ge Cone ay ie ' ee ee. £* s Grave No.....++12+.+. Total Footing of Bill.. .....eeeeeeees Ae ae ant ota segs Taser ee TE PER Seance leo gs 5 ces aay eS tows eatas ice woll lw cae PLU ar ben ai eS persees . e i [ : Balance....... Fhe tees dower e > Diagram of Lot or Vault. SNE eee Entered into Ledger, page... ecalou bak