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Collection: Original Records > Death Records

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

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Peesees . Name of Deceased / hve Residence /Enreda Cy , Lopban Qh [Widowed 0) Divorced Bat ng yal Oftusbana]witewidow : OE ne) seme d tw osen , of ere se oe MRE pepe Wey fee tea ete creas $ Address.. 0/7, KM alrof, SEES Order given by deridtiielige 17 23:+ mse «x4 Burial Vault or Box... (Sac Mids reese How Secured, , .. Phen. Me eg sill weil. oul) i es aE PR ee Fo , (Name of Embalmer) Occupation.. . WNocees: ‘ Mile ae te Barber, $...... air Dreming, $00.. 0) lod iy, (Social Security Number) Dressing Body, Si ectkaw es « nderwear,$...) 00000] "7 Name of EERE sore, De chet pickeaeatiare NMR a) ere YL (State Kind and Color) ripe a oa te an Slippers, Sr. tae Lae . ) EE) Maen . , Date of Death forty, ME 8 io. 4'3.0.d2n. Folding Chairs, 0.17 Tarpaulin, $...00,.f0 002° fo (Date) (Hour) Candelabrum, Se, oy: eae a Ree ees tk Dito Bitte OA 4 ROP SEAL Ps Door Spray, $ . to ae Gloves, $.. GLE Mase ep Age Z g v4 SP oe Funeral Car, $... Ambulance, $.... 0. 0077/7 pT ge (Years) “*"""*** (Montiisy "7" * ane ‘Limousines to Cemetery.. . Gees nea, bok. Date of Funeral. wy > nina tll) <<. SM, — to R. R: Station. .. ‘okie OTe age ath ma te) yg mn Jl 4 etting Remains APOME sta lh wan adik, SI) . en Pee Services at. -<Mogeer. us MAS temas yp CPM YM +-Taking Re oe acs eae! iemee aemeal igs aking Rem Clergyman. LK. : eA hs iran Trip to Coroner’s jee ee Mma (ha Sere, Bo a US ee MRO eC agg i? Deliver Flowers Slyder en ia ee ei Removal Rg. sh Mage Pe Procuring Burial alge eee Tes CORP eng (State Number and District) —Certif. Copiesof Death oy vin . RC (State Physician’s or Coroner's ) Pall Bearer Service, $.". Use of Chapel,$.-..) 000 fo ati cah agg Re SU eae ies he ee a i egg gt eS ce eg a a ee Certifying P nvsicion CLI aL, or Coroner) PTS ete een iT viene le Bis Addams oe Cy” or. pti, alee -++-line Death Notices in..” Papers.. ec Name of Father. /Avenm, Sei Aa osc, iy 5 rio Flowers, $... Pains, $77 Matting Biss» olfactics vehi) net ae His Birthplace. . Senn ahaa. AG rg bond. -../ Rental of Tent,$..of Temporary Vault, $200.40 fo ; Opening of CP yeaa Ge Oe Gee Leal itn Maiden Name of sinned ee Lining Grave,$..__ Lowering Device, $..0(f 0071/07" Her Birthplace...... net rea Ta ahale Pay siete pte ek onlay for Shipping Charges.. Pa 4 Piha, + . . (omere) gtr} Remains tod Vex, SO Od Comebary. AL.. gicreyman, $5.77 -Singers,$ “hop; OnBanist, $ teeeedee ss Ol. OTO,. ; 2g A, e or Motor Tickets, $... 0. plane Service,$....0.00 {0 Size of Casket. 29/2. of, (State Color'and Number) "78 Telegr., Phone, Cable or RadioCharges...0. . Manufactured by. Lo. Qre. a tae thot a eg Pea 2 oe : ih Se Mes xing Ee haa dec ee — ut of town Undertaker’s Ms a celaw coh a uintcod sc ale Interment at Law .S. 4. go Peres ti emo Out of fown Undertaker’ Ci Sieben Ch SI, eee eee $1772). 5° 2 Souhegacn, ee ieee ae Hh ve nud Ie . Balance.....00 1F 3. 4. ae c Diagram of Lot its tan to ape ee Paar To Balance Forward. .__ . Amount Paid Balance . .