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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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BS = -D Mostiog LF Single CT Widowed DD Divorcea (What Race) —
_ Residence. VRE Hei G tog Ad: Wi stee Linden, eee. fhe s soamicaig mien Oe Le eS eae el
a“ “Charge OE IR AOI bac ines De to
A ‘ 5s : Complete Funeral. ........0. 20000 $i.4 % 2%.
Ia pi aig as nyt eS amhaami fie Casket. «8. Lk nef Ae ae ck es
e FE aan “ STR Ja cetende ve ecseeees Burial-Vault-or Box gtie.Aticecis....f. we,
= aie or informant) (State Kind) .
at SE gee alt caric’ taiRag ANT Sa? Naar TEN Embalming Body ...... 0.0: eeeecceee ete eeee say
a ca . : Lh ; (Name of Embalmer) . i
: “Eth « HCA. eb otethy Oo Te Rietedas Ulead Barber, $. 20. 2.... Hair Dressing, $..... [....
ap 5 2 ~~ Gocial Security Number) . Dressing Body, $... woe. Underwear, $i.. 24)..
a ad "Name of Employer. tsa shed vl “> eid: Atlan. . . Suit or Drese ete ce tease pe
he r te Kind an jor) ae
we Address . sie seniens Cer oe ny Mees nee ste sceteeeceess Slippers, $....... Bose. Soe Me dee!
Se ‘olding Chairs, $.... Tarpaulin, $.:...i}....
* ai a andelabrum, $.... Candles iyscc ts. mine Sekt 6 cies :
* Date of Birth. ZG. get a. 2 es Ragt eas Door Spray, $..... Gloves, $......Re alae
Gh hae “ eae ee a Sie: Funeral Car, $.... Ambulance, $...:../}.. [ps
iE See: . eae yale Ret) renee ies Limousines to Cemetery...@$.....-. f...5.
Date of a; ope rare te ae Jab Autos to R. R. Station. ... Gide fnc5% Ie, Balt s ae
he Z ae ot Week) Getting Remains from. . 0.. 2.. 2.0. cece ves fee's coc .
Services ai eg UALS Dod. ff Waking Remains t0. ...o sk cvcc es oaeevde Hoe sece.
7: lergym Cog VL ak 2 pee . Trip to Coroner’s Inquest ...... isos aa aeeerem
a or a y (Address) + PROD VCS BOK T0055 si se oie cE Se be ee ewe es cidMe ccs as
oReligion of ape te a pei teteeees +++] Deliver Flowers to.....0.0eeeeeeeeeeees 2
let PemOver Maree 6 PE ele can ds oe eta abs ook
Birthplace . SA DPAPLAB ACP: 6..
eoamg Le an weit oe Procuring Burial Permit... ere panes Lest Be +
Resided in: the Staje-<. +44 > oF City 2 County): (Years), 7 onths) . —_Certif. Copiesof Death CertifieatesNo. Ae dot
Place of Death, Varwee erated <adiaedy-$oi Bearer Service, $.. Use of Chapel, $... ....
Cause of Deéth: Lp kiga mers Personal Service..... ott 3 Chae Sree (ea
Contiibutory Causes. Dba AOEABAE. aoa SOE Bolculgtausiand b\aelew ite Be iyi lg Smsn enareah a gute es
Gross Total for Sales Tax..:......24. $i.. . ep
Outlay for CN cs Ok, ee le Rees
: Cremation.. >. Seas ¢ aac oe Taleen ee Soe duns
. line Death ee Boon ss pe, Seer
Ne Pirate sea ie ng 5 4en ied teeteteg ttt
Flowers, $.:. Palms, . . Matting, No cee ese
Rental of Tent, $..of Temporary Vault, Sener ns haiozas
Opening of Grave or Tomb. ....2.4.. en Geer
Lining Grave, $... . Lowering Device a Seer
. Outlay for ShippingsChargesi~., eae 5 eit A
Zo} Clereyman, $4: of Wes st, $7.25].. AG
4a) Railroad Mee 2 Bence Sod
Se Motor }Tickets, $..%eeplane Service,$.c2—-p....
+ Telegr., Phone, Cable or Radio Charges. Seats Coe ee ree
: = . Gut of wen Und Se eee ees (Coo
So Owner. ..------s00+-+--. Entered into Ledger, page Toast “Rahsaan at pea