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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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Name of Deceased.. ewe ecessfense ese eeeeeeee
RECORD OF FUNERAL
Residence. . -<W RAE. iia. minal ms er ee cs ee inipeestnacsant ) > iba air aos ud) Pees Oe ee ay ene ry ee
Charge to:. SAH.. Ch. Ad, Pe inleg igh e aiie ten . ye
Mate 2 6.3 Bi. 1 de off Luc. .ab. Maadd, Uahbey, § Complete Funeral...........,5+$]. . # cof ie
L, "3 Casket.. %..4 AURIS OS vce he weeneeanes a
Order given by..“7-%.: liens AMI eee e rene nenes Burial Vault or Box .... 0.2 e cece eee eee eee eee fee ce
(or informant)
(State Kind) "
How Secured. :. “AS Ax eee eee FY ae rere ae Embatmning Body ..c cece eect cemeteries cee elec eees
(Name of Embalmer)
Occupation... a eet es Wak Beda Barber,'$....-,+0. Hair Dressing, $...-.l.--.-.-)..++x (Social Security Number) . Dresdig Body, $./0,39..Underwear,$...]].. £0.).9.9.
Name of Employer..7..-+++seeeeesseereesrereriees Suitor Dress. ..ccccecccccccecsecceeteeeesi es ceeecfeseees
; ‘State Kind and Color)
AGOTERS 2. cierto: erase ke elle a Sosa erate» Reh cae Slippers, $....+4. 5 eee $. ; he es ds tare sO
Nateaf Death. .vetee. 6k: 27.. L277 § 229!mFolding: Chairs, $.... Parpaan, Bai evg sds + Yee veep af bo
oT (our) . Candelabrum, $...-. Candles, Soo. .00 0. Wes. os dee shea
Date of Birth..“ A choy Saale A a * Do Gloves, $... 06sec tl cess eefe re ees
Z z ; Ambulance, = SMPs eral ll ry ata CA, See
AGO Sac. cece Paro ee sis @$
ears, . SBRNOUSINES TO WOMVLCLTY . 2. eM Powe cereereaiiererrecisreres
Date of Funeral kty .2...covreeley... 203.2. Am. Pon ©. Senenennen . Geen Cononn
(Pate): cs 4 SUES eigiizsinle wei Fialew «0 OllN << sere SPOR 9 909
Services at. <V.goartet Ulnar. reat 7x2] Tking Remains to.... ‘ar aie ea! Sips ee «a Lee
Clergyman: : "Fie: oe me a pee oN on _.. Trip to Coroner’s Inquest ..-:.+eeeeee eee e eee efeeee es
ae aie Delivering Box to..... Eels a Riche + xclliccue os Gals Wacsl Nexese
Religion of the Deceased....6 0.00 +++ Reeeseneeeeeers Deliver Flowers to... a coca Pave cls » Uy ade hes Hasty teens»
Birthplace . Anadd. ‘Eu i Calf. posse . Removal CRBIBCE sige ess leven ss vase onion vx tllos anew, fete ®
uci Sf. ‘. Procuring Burial Permit.’. fis tie wi baaen Woe
esided in the State. . ‘(or U.S. & City or County) rants na € at c “ex_-Certif. Copipsof Death CertificatesNo. fae
Place of Death. Fratstene a Magpackerk i ne ‘vi.. Pall Bearer Service, $. (eine of Chapel, $:.
: ; MOON Briss 's ellis welecaee's'. eas vipa
Canad ekite Ce eT Ee, oe re Sohd . coe Personal alee Fy Ameen ona oh ab UH icaseqmale nip] odinin sw] nace re 9
Cotiennibary Castell se, Bo Sresdirasts ome Al cde acleth 104 sek eshes By Ta EU A Sr eee eee] . Ad. . ye
© de tan A spe ieaete v oye] Gross Total for SAles Tax....600csceceee . .. 2/84.
ae T. Qutlay for Lot. jo. edad cen cctmewsccsees sees 3701.9. 8.
Certifying Physician...... pamaes oe ewes hss Gree -+. Cremation. .. A ph gee cet Peo RE peeee es Shir ere ae
His Address. ... ot a Sema a Soba NLS, ty . line Death Notices in... Papers .... [-.-+++s[eesees
Name of Father. A itred, i Ch, Nie “eer 2 ae Flowers, $ SY. ne ee ack Matting, $s.. [js 66+ Ae
His Birthplace. . CT downtn eae mee, G aoe e He Rental of Tent, $..of Temporary Vault, $ ... . ...--Jeeeees
Opéning of Grave or POT Ove ide ein sled viealhes oes Sh Piel
Maiden Name on sco AMAR. Mtr, ibis at _**‘. Lining Grave, $...Lowering Devitt. S.-. Bir. wd Oe
Her Birthplace. ///A wctfiiankes wine eles tee
Motor} Remains to.% ° Baarck Ja. “S/F FZ U3 alanrec PbCH#F2 Sacer lem..
i a (8. es SR EE ees core e
Size of Casket*/ 3. 7 APF BOG, 00 Gy
7 e > A r) ¢7 6 fe 2 ee! ee
. Manufactured by & 223:00. lee ST: 82 Es dhs wane Seto nae
Interment at..°£2 Weg % — 5%. 82 Cc oe ea Seas
hr, oh G2
. ese
puane ea er
a) a Cun
Anco . WP aR cg he eae
Diagram of Lot or Vaul’
Date t Paid Balance