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Collection: Original Records > Death Records

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

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ha i ha Seve Charge to a < % Address. .. RECORD OF FUNERAL CC ec ete we recelc (Name of Embalmer) Occupation... CLL. wAkncees in rte Gil ctocs ewe Barber, $...... Hair Dressing, $....]]....], Social Security Number) . Dressing Body, $5.fsk.oe Underwear, $.../. ....]. Name of Employer..... Tee #9: Brel atgeseatee ain ay (Be aed coRvarcie SCOP CMM LE Hh cd Maes oe ae at ; (State Kind and Color) AdGregs . oie. cece cwees role ons Si acielp ew amedial Meet +++] Slippers, $.:..... Hose; $.. 002.. .0cals eek Date of Death, fr.. 2700 3/0. Gon} Folding Chairs, $....Tarpaulin, §.... 0 72/. oa O55 Da (Hour) . Candelabrum, $.... ~Candles, $.5..¢.45.-1. 0.024 Date of Birth. .% £<,. ./. Ae ate LEL eee Os ae Door Spray, $ Seely GlOWOR $e. es oes ould ace cle Age 7 3 v, S/S & _. Funeral Car, $.... Ambulance, $.....]1....1,. ali (Year aemitay 8 Gey ST Limousines to Cemetery...@$......]..._. Date of Funeral. ft. /.”.. cree .1.5..Pm. futos to R.R. Station. .. eee . C/ (Date) iDay of Week) a1 Cour) vetting Remains from........0.../...__. . Services at ~/ Tope Y A) saci, Br ro Seri Taking Reinains t6? 23.. 30.ce0c ee Clergyman Th 20 Tee : Ke. Makin 9. Trip to Coroner’s Inquest .........)0 00 . . : + _ (Address) Delivering Box to........ PP pts ar . . eeele aegis Religion of the Deceased /UcRharduah... tee ee eee Deliver Wipes tO css ends EL Birthplace.. Aadd. Valluy.. Cad aS Pitied: SOVARCEAPEM ried. Ube vc cyey Ga voeh Mw) hE is , a eee Procuring Burial Permit.. nied bili Sukh kes Sarseell® aie Aoef Reg Hed Hanes. wil he Goscs, "Grea; "(aieutis} ". ___Certit. Copiesof Death GertifientesNan . Place of Death.. Co.. hak Cause of Death. Cita. ; , PIM Contributory Causes Z. OE ee YD th Thee eee eae (State Physician’s or Coroner's, . Use of Chapel, $... AL Te A ce Oe ee ee Ie Pall Bearer Service, $. Personal Service DA ES Sine 2S Rae! Oia es Me wr Vie 64 E816, 10,'4 8 (ne wv ES oe edliceone 1. eG . mpg 1 cage oa) Women? BS aU! ohare @ ales: shee sie wees eters « Hkucalt,. Gross Total for Sales Tax.......... $i}.. . Z\8 RIOR SAO TUOE bogs sp hc aly snes «a3 0 Mga cain, vee PIO oe Bi ao EN oa pata Lak bs. Lins « AGRE ks ..line Death Notices in... Papers ....//.... ie oe eh ec a AF on oy Sa cde fe Palen ee” es Flowers, $...Palms, $...Matting, Se toll. bobs, 2 Eesrate eee 9 BC Metal sla ocd oa alesce ls ade ilo Rental of Tent, $..of Temporary Vault,$.. ae : Opening of Grave or Tomb.........].... _. Maiden Name of Mother: Matinee Meo, Saige be oh Lining Grave, $... Lowering Device,$.. . .. . . Her Birthplace. ... C4 Aha. PALES sees reese Outlay for Shipping CMB Q OS ie. sea oe ache vb ceo clee lel Motor} Riekicats yas Clergyman, $ = se Singers,$ “i -Organist,$...]]....1. hn 2 07 Se aA Oa AP BOOT oe cela eiciv ois ihe ; Sins . Skig> # F4/2 ,; r ”Y f Mort or Mour } Tickets, oy plane Service,$...]/.... ‘ Size of Casket ./.0/.0 7 Sue CiotatNades . te Telegr., Phone, Cable or Radio Charges..... . .... . Manufactured by... awa C PM ae ch oy hy on eine ry ee yy ape a pay ’ a ut of town Undertaker’s Charges......]]....]. interment at Cia macnerg.. { Sen] O88 tw Unda’ Chae 2000000 Lot Now eesseseeee, ge en Ti ane ares ge ka Grave No......... Total Footing of Bill.........000,, $}) LS: 8 Section No........ TOD: osslas teckel isda de euaeecs eee lackon . e oa et Balance....... Bae ees x Diagram of Lot or Vault fo Ee Cn Entered into Ledger, page... or below. Date Amount Paid Balance Date Amount Paid Balanc eee Lae To Above Balance.... .... J. oto Ben ns oe 3 . To Balance Forward.:. .... . Wee re is Paw oe . .