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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
E RECORD OF FUNERAL
Total No..4... fo Keely Dp se pepo sagt Date. ASKED.. floes eee IE
Name of Deceased .(/ AUN. KAMEN. .% en. ee ree pe 1 elcaliais CNS Melee orl cu os oh aha V *
Bina OO Married L Single [HK Widowed 0 Divorced (What Race)
Residence. nad. Ue Lheg,. A DK MEP. BAL oe a cial ta ie ta it” ee eb
Charge to: . <C</EyAt. 0.4%. fee TOAKLLTY, wecccevects Li
Aaaress, (/ Led.. Ua hte cg. CAA cececcecs . rrr cin 87 6.8
Order given by. #0242". A ee
or informant
How Secured .~ . Sige Bo Sa thcy s-cahieare ¢ Meeker is Embalming Body EP toe
ame 0} im, mer,
Occupation... OMT eas tak, ddr. < tobe eR et Barber,’ $....+++++ Hair Dressing, $....-l]...-[eeeee
(Social Security Number) . Dressing Body,$....--Underwear, $.... J..eeefeeeeee
Name of Employer. ...ShM™TWVA sees cree cere e reser ees a ORES Oe ng iy See ESR Mis tetas Soci
(State Kind and Color)
Address .. cee cc cece ccces GUNS eee ee ece rece ee ses eesereee® Slippers, $ WK ty ube) deere nieve Hose, $ = . ile = eet . ees rior) Beet ae
Date of Death, Pure.. Fy ee, eo 3/6.Ger, Folding Chairs, $.... Tarpaulin, $....+-fJecseeeefece ees
(Date) (Hour) Candelabrum, $....MODNGICR DS siete sloce-e 00s ef] ozete Ole ponese ie 6. *
Date of Birth. Ape. sous BEE Oe wh whee ‘oldegs 16.63. -.. Door Spray, $ .i.+,.+«-Gloves, $.. 2.. eee ffir reefer eee
i] E} i Funeral Car, $....;, Ambulance, $....e. [--0e-eefereees
Fay ci. as oeeeeee* ronthsy) ( “ Limousines" to Cemetery... OD Bigs des sivas ais shee oe +
Date of Funeral, fore rd . Saher ahey fy ee Chim.) Autos to R. R. Station’ ..:5@$..eeeeeeeeeseeeefereees
Pebicacheo (Day of Weel) (Hour) ~ . Getting Remains from.... So aie cn aes auce onde #iueet
Services at 7. . Uataceia.. AON spine es cles Taking Remains to....seeeeesee eee eee ee eece senate cece
Clergyman. Grashe onit hn Oca. ZLOLUM, ccs .es.. Trip to Coroner’s Inquest ..pyseeeereere eee eiererecefereres
(Address) >» »~ . Delivering Boxto..... we gettsaesaaccee sins ceeecdes eres
Religion of yee 1 EM Cathar. beeen eens wanes Deliver Flowers to....++ai aa, gill. Semel Tak bte 3's
Birthplace . ZYA4EM,, .U Ghee.. . Cot eae Cae Removal Charges....sseesneeeeeseeee cee ie cence afer sees
ie y ; '** ". Procuring Burial Permit... vo gen snes a as cant inl as snetire se *
oe an ic
cha ail “jah ne Ae Sic Cassis "Grey ". __Certif:Copiesot Death CertificatesNo———_. ....J-.+++
Place of Death, Aerea. Ah afeakad vee Pall Bearer Service, $.. Use of Chapel, Ree tates
Galnna af Dew Raff Wig ane etdamamr tel Pt A Arg thee & cp
Contributory Causes“ (LL A TAPE INA oe iece eee e tense ee nee ener seen ee ee ene ees Wenn a
. Gross Total for Sales sl BES dee PAG iets ectinois Sil sco hod ¢ / :
Outlay for Lot..... ccc cece rescence ee ceed esac eel seals
Cremation .i.ccccceecc sce cess cence se eallis coe fused oe
His Address. : ./@ . . .line Death Notices in... Papers i.0oc.collce amee. s oes ee
Se er es rt oe ERRRa aS ad pg Gna
Name of Father. . ‘. Flowers, $..'. .Pal ims, $. es ” Matting, NR Fria oe) Sree
His Birthplace 4 Rental of Tent, $..of Temporary Vault,$..l]..--+-. --+++Opening of Grave or Tomb... ete. OG fees ghellly eh die eee at ave! «C8
Maiden Name of ‘Mother/ 7 py ape gel sai halite Lining Grave, $... Lowering Device, $... . -Seaee Eieae
Her Birthplace. AAS 7-1 1 Ae .... Outlay for Shipping Charges. .....-.0eeeeeeeees. ereeee
Mater Fensiina tat EL z er : Ce bass.. Clergyman,? sect el Singers,$.; . Organist,¢. Sta (ac hie 2: hed
: #9 3A , t g SY Q g ae iroad . Tickets, Seeid seks plane Service,$. .. [eo eae es. eree es
Size of Casket.. Avi Or toe wd amb 50, She Sa aes Telegr., Phone, Cable or Radio Charges..... [es++++s. ee+005
Manufactured ye piso Cage OF a ag OE Ps Cash Advanced.....0cecceeeeeeeeeeeees veveeesfeneies
Interment at. ken. Helge fy rH ia a eA es Mata Mo
Lot Now.. seeessssssseeel ESS cS i ea aes PS .
ae oe Tet Total Footing of Bill...... Wines 7! 3735.4. 2.
Dass) tao. oy SE Tg ote Oe a eines rede #0 Nis ea «SAIL oie glo rs een
Section Nou. .3 is secesce ens 4 $
rmenara ‘ee Balance.....00%. BE ed sade weds
Diagram of Lot or Vault Owner. eee reo eceeseriee peewee into Ledger, page... i