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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

RECORD OF FUNERAL :
S Sae REO SCS S aS SS: SSS 89 © 86 G5S S00) 8) 61610 0 6.4 © dre v's 0 64 o6 wo 6 6 85
CO Married IX Single O Widowed 0 Divorced (What Race)
Residence. . Anaad dhin as a ae Sl: ee ee C8usband[]witel widow { ie ak digg Sabor irtielp ses bleh gooey Vins coach
Charge to. C1.c7dor
SI36\ EF Address.. . «7%. wade ¥. Vee Ag AT dd, Complete emer eet ee $I. .4 ~.6 We “a a Th mee SEM SE uF cost baer ee nee ale oa oks cere tts Z2AS. 09. Order given by. omen, Gen SO EE ere nneal Burial Vault or Box... nee ens Comin ana Ps
or informan’
ta: n
How Secured... Phang. SO Reed ois Bane Wa ete: Embalming Body .........00.000He ees ccclee eee.
(Name of Embalmer)
Occupation..... lherese. SA st ae Barber, $...... Hair Dressing, $....]]....]...
Gocial: Benarhy Numieet . Dressing Body, $s.. 62. c4. Underwear, $.... )..../...
Name of Employer.... Moses resasereceveednsesieess UEP OF INOS «Ea cia ky ae call as leh aa ace. » Hees dec eee
Address roar, » -. (State Kind and Color)
Fee ee cree re sens Wp essere er ce cen eeseeceeens Slippers, $.......Hose, $....... Pens bo en
Date of Death. . q (an tae. ow 8 Ae tee Folding Chairs, $...; ATarpaulin, $.....].......
OD ya (Date) (Hour) “) Candelabrum, $.... e at! ST eer, Mie eet . asain
Date of Birth.. Sealy Pera ot b A 7.2 by es ee Door Spray, $..... MGOveR SB. . 88 Foc okdinn cede decleek
Age /& oil 23 _..,,. Funeral Car, $.... Bmbulaned, $i. co cs.cll. oe 05s coe dees
pe hoe (Years) 7" see ‘7 *" "(ays)" """") Limousines to Cemetery... OB se sb Pine TM an ha whale kc he
Date of Funeral. a3. GOK. x sein ede ta ee gaa be to R. R. ig ie RD suo vy inl ba ooh HOS ie oa af, we olg-s
Date) MAL hoe ph adn etting Remains from.+.....ceceeeeeclle. ess. lec ee ee
Services pe Ot Nr Matar. ae Taking Remains to. 7. 0: ose Oe OPE Mocca cael sees
Clergyman. eg Tardy cig eS. cb Ap Cn ontinet A Tagan Ji) ind as iad Seok cc ale cop's
(Address) Delivering Bot 66 2..fa's04 ahs does os oveeand dl.. abe..
Religion of the eee Ss 6: 09-8 6) 8 6.0 WISE 6 oe 6 ale elen-sfé 6-5 5 es cree Deliver Flowers to © ee egiig Aon '4.10 tna olan: gaaeesog wie! « “sland. Une caite: On
Birthplace .. >>: OK Lot Rois ES bee i he Remowal CHRIS Y. oie onl oed io Las Shee Od. ifs oc ds
Ors, my Procuring Burial Permit. ick este Md bad Te Peres 7 ; {
umber an ist ae poe (or'Gs 8 iy or GoinGS Gren” (ateuein . —_Gerti. ae oe elidel, at
é te ian's or Corone 8, Place of DeathAramrealen, Kerry. . bende & ve allay, pall hither service $. nue Chapel,$... . .... ..-.
Cunseiot Death. al 4 l. fi PP elon mx Mite les Personal Service. ....00c.eccececceccscscleess. Sl. sling
Contributory Causes. Cremcbe Z, Dirtierrvetier. Lair peyote glee ME IRE Betas 20%, ae, Sees I
Eun
Gross Total for Sales Tax........0.. } . ee FALL..
1. Outlay for Lot... Woes 5: Wi gm: 5. Goats coMbegss is Sarat £.9.].0 9..
Certifying ete Fo hs RO VOB Os O55: 0ti ec ek y vine the o's we crude ¢ aca call id oa acme ann,
His Addres#.. ua ‘DSL Mats.. Whe ahheg aes oe ..line Death Notices in... PRDORR Gy cs vider in.) edinds oo 6
AEDS A. den dee Sicha ed Wenletcgecag UTR de te bo wtlay wees
Name of Father. Darn Uh hii lee BARE IE FTO . Flowers, $... Palms, $... Matting, Se ch Ga seh tee eos
His Birthplace....%/. win ns RA tina, .. Rental of bee $..of aerncesty tc .
an Opening of Grave or Tomb.........l.ccceeclec eee
Maiden Name of ae a Na H. : UTS. USES. Lining Grave, $... Lowering Device, $... ]....]...
Her Birthplace.. . <7 OG<OWA GS. eee cee eee Outlay for Shipping Charges. ........))..eccleceeee
oer
Clergyman,$... Singers,$..Organist,$...]/....[...
to,. SA. 0 eeu. AK Oey. ; pry ) Lio i
oe Mont }Tickets, ee Aro PRINICO Sf. Wes cai Tbe, bees
a of Casket !. wie eric fi zy ef Sos ; nh SIO ce 4 {or Tle Sires vous Telegr., Phone, Cable or Radio Charges mat . . ee coo (ne
Manufactured by. Aanks RAP NARIRL LO, on re. ; : cus tee on Sn nnios . Cnied Cinna
; 5 ut of town Unde EIS ROTATE OS oe: 5 wise 4 ve lfeiere sie 6 adale aul ee en ON re eee Toe
Lot Novos. eeeesssssssesf Boi Doe op, cipal cone argescssies ellen
. Gfave No.....c5000-. Total Footing of Bill.........0 005. 3/3 4138 a
:
Ee one eee rene Werder raceme. Mere” . ER. lds : BOOM ORIN, «assoc Yad ec boul i
$ ——_ . . cao
Balance....... bE Rt. ian
Diagram of Lot or Vault RTE oe aden Lew AM Cb aig’ Entered into Ledger, page... or below.
Date , : Amount Paid Balance Date
; . Amount Paid Balance
(O.7 . Tr Ahatra Ralanas : e By 6 lo Y . Mm. M1. ay . . is .