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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

Sn. eat SSSR BS © MS 810) 08 CURKSEN 0-6-0 9 10v © ee nueiel seb) SN @ @ wk oatee f
Total No. Le, ae Yearly No. i, Sa hots. ony Date. firtip Girsecceeerenl MS
Name of bleeit Can, Cena Chis. Clecca hear,
Married OO Single (0 Widowed DO Divorced (What Race)
Residence .4 Bass Ve kly Maryhard Mcred Kavel, 5 Dram = eh oak 9 ge ae ae, peaks Wes Wye wsy 4p Maen cede Te
Charge to:, Patyn.. LZR, .0 eee.
ae ee oY NPY ice We 2 \ ee . Complete Funeral.. $14.2 %.).2.7.
Address. Al Madd. Veda. iger-a herd (ex Casket..9.. LOVER. eee, 2LLN.6.6.,
Order given by 72 LO. fetes IR As nn Burial Vault or Box..........00.....1...
(or informant) . (State Kind)
How Secured. :.4 SWIM cece cece cc ecceucceeceucs Embalming Body ... Grids Bacasdinaig srt tf ne hee ck
is 4 ame of Embalmer
Occupation ...WOudiarbes oo.. oo cccecee Barber, $......5 Hair Dressing, $........{.0..
Social Govusity Rumba ". . Dressing Body, $.:.... . Underwear,$...]]..../.2..
Name of Employer.:... ; eee eas. *. BiG Or Dries a. hes abe eink cs bos coecllews ccc dine cs
be , (State Kind and Color)
POON siete 6 eS cettpreie oe Rp cies w Ole alegla ties oc simreth tend o»-+-! Slippers, $....... ORG, By cso daes vhovtlss oc edelouS ee
Date of Deak. oy bo y 240, $14 (m. Folding Chairs, $.... Remepnalin, Slee gi ve ee fees
(Date) (aur) . Candelabrum, $.... Candles 8.. ose ccclleocvacelence de
Date of Birth. 772 C2 a (ACS od Bae heya Door Spray, $..... HOVER Bias. ac sne lt We oi wdels cans
ie an 4 / Funeral Car, $.... Ambulance, $...:..]]....)...
mothe 2 (Years) Months)" "" ** (Days) 7 Limousines to’ Cemetery...@$......]].... ...
Date of a Aco . 493.9. 4m, Autos to R. R. Station.,:..@$.....,....]...
aes BB pete of sy — (four) Getting Remains from. . eaisae aye ‘alana s eaves ic © . . eames im Se
Services at: w7Y. Merton. Fox Taking Remaitis to 0 i. e8 5 sie. oo4 cess utes odie bee
Clergyman: : en ya Oke. ee pe ... Trip to Coroner’s Inquest . SA Crean Bhs oncrpertne all, Peedi ae
G, (Adgress) 2 PDeivering Box to: 6. ccereve eee dices dl,
Religion of the Deceased. Merkadeskeers tence eee. +++) Deliver Flowers to....ss0eccessesseeesecl...L...
Birthplace ... 7VEW..¢f-e77 Rd at aces GW al CaO e655 was con «hiss dae an caehotis. des cs.
22 rings _ . Procuring Burial Permit. .. soiNtbisie ‘abd bhi” Pre tutesfees te
Resided in the State. . a hae a ga gi “s Certif.Copiesof a ee an Fa OND
te cian’s or Coroner's
Place of Death 4244. . ce os fend Pall Bearer Service, $.. Use of Chapel,$...\. .... ...
Pornonal Services ow soy spose Seiad cover h tee tees. Aube
Gross Total for Sales Tax.......... Shes os JT bs J. 7
Outlay for Lots.. ... cscs cece scuacscsseste. &.9,).0.0,.
COPOUIAUGI SS. Pans cress sansligenr ds oavaues coly al athe. 8c
His Address. : . Pes At.. V ts arb ob . line Death Notices in... Papers .... ]....]..06
a ahislOiavs “sins ocr thas Wea eee is ts she taf seep cond
Name of Father. LU Laem. ime cet egies oe Flowers, S05 22% Palms a ak : Matting, sis Wied gets eho
His Birthplace...7.04<4.. Rental of Tent, $. coe Temporary Vault,$../]..../...
; Opening of Grave or Tomb.........1].......
Maiden Name of Mother Lining Grave, $... Lowering Pavite; @ Fria gous coehes a tuce
Her Birthplace..... Urb Lr PSs Ore alesse wats ohare Outlay for Shipping Charges.....:....1]....1...
Bator Remains to. A L : el Los Clergyman, $5.2 6, -Hingars,$d 4. Organist, St calle ae 401.06..
Pricey! ie #22 Y0 deme Cora Commare te Coed Opal iroad . rickety, Sar eee plane Service,$... }....]..05.
Ize Of Casket. 1.70 6. Ata, OTIS, TS Case Colac, & 'Pelegr.,,Phone, Cable or Radio EAT 08 03.05 calle tcul eek
CBBR ARVANCED 5s 6601. cots os cadia oes, Woseecgule. oc
Out of: town rene SC harEts o55 1. os. scl t se
oes repetesnanentettanet acon . oa
Total Footing of Bill........... $1.7. 741.7.2/
Se LESS. e eee e eee ec ene eeeee eens Cneenic Sisal
a a aa ,
Balance Nae hs wi sin @ 9 ee 4 $ #10 9% pieinleie @ 6908
Diagram of Lot or Vault COTE ais 25a sais nws ES Entered into Ledger, page... or below.
Date Amount Paid . Balance Date Amount Paid . . Balance