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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
Address. .%2,1. HlareheL/ hho Complete Funeral .......00cceceeees $.2.2.% . 70..
Casket.. M. LATION lec cece cece eal ee
Order given by.. avs, wots ete seen eens eeeeee Burial Vault.or Box . 0.6.. 00.0 ccceeeld estates we pak ence
(or informant) (State Kind)
How Secured.:... OPS eke SEP ltt oat a ee Oe Embalming Body ......0ceeeeeceeeeesleccccccleceees
’
(Name of Embalmer)
Occupation.... PE oa Boa cle, Barber, $.... + ..Hair Dressing, $....]J..../..005
(Social Security Number) . Dressing Body,$..... Underwear, $.... . ....J..0.
Name of Employer....7.. Se bietonulite glGitt clic piarelz leigh els «2s Suit or Dress.... sécvkdiatantang eee feeee
. tate nd ani or,
yO Be Spo citiin ai itt ie pereeceee es Slippers, $....... oie Sel oi ued kv eh ea
Date of Death. Sety../3./740... $79, (me, . Folding Chairs, $....Tarpaulin,$.....fJ....Je..06
Lyf (Date) 1 (Hour) . Candelabrum, $.... Candles, $....00-He se esefee sees
Date of Birth. “.%%.... od alae VCP a keubaee « o2 Door Spray, $..... OVO LST 5 Ue nt 06 set Getaslna [ors Pan
Cs ee: a cyte Re Te Funeral Car, $.... ARTIS Bes signin Hemant poh on
(Years) (Months) (Days) Limousines to Cemetery... Qi els setae es
Date of Fane il es aid Autos to R. R. Station. ... OFS 5 ese vo one ee tte Se
(Date) , (Day of Week) (Hour) ‘
Getting Remains from
Services at.
cs . es fC a a ae .
0 LAVIN 0 oo UTIs wee eee eens "PRUNE UROMIAING TO, , Gales <5 0s oc s ce ghy ee e's pdollvbtenen abawaaled
Clergyman Heather. io @ Tira Vig ates ET abe Trip to Coroner’s Inquest .......eeeeceHe ec cecclee eee
bi ~ , (Address) Delivering Box to. .... cece ecceeeeeceeell. ee eG Steet
Religion of the Deceased. . Colt Richie rues teteeeeees Deliver Flowers t0....cccceccecececcececcllocccculeceece
Birthpl ont, Cle SEE on Sail PROMOVG CSMOTIOR oa 2s es ce i's wrenie ene oo detracts Ledled als
; i li he A Procuring Burial Permit. . sa is a Pj aPeeleyia g
Resided in the State. ‘er U. 6 or City’ or Couityy * “Ciears)" * (afoatiu) . __Certif. Copiesof Death CertificatesNo sad Frets ee eS
ysician’s or oroner’s
Place of Death Aer. 8s. 2 enehechl At A Yakheg Pall Bearer Service, $.. Use of Chapel, $
Cause of Death. St hervencny, alt A Knbetre. Personal Service..... tteeeeeneseseeeeaecereselereaes
40'S BIG 0.0.6 8 10 Cie 0b OleLele a8 © O96 46 6 e 6 © 0.6 wie eee ® 06 ore! ecbipialia 6 6 6's O's WO _010.016)6 0.0%.» 6 6 8 We Hie bee be % 6
Se te stil ok ete a gtr ita oe seeseepecsceceseees. Gross Total for Sales Tax.........-$]...8.12.@.
i td ro aR Me LOC eit awl 6:5 a2in s ccs Save >, oo RR ok ofa
Certifying Physician. Hane Kdiasa inetiV® «. Cuamation
ee . ee rar
ee . CC ee rer ae
(Names of Newspapers)
ec a a oy
’ Flowers, $... Palms, $... Matting, $...]....]...
AE yi, Bresette le Rear Slats wi ¥ Rental of Tent, $..of Temporary Vault,$../].... ...
; = Opening of Grave or Tomb.........]...00[eee eee
Maiden Name of Mother.271 eae a ra devel howe ete . Lining Grave, $... Lowering Device, $...]}....J...Her Birthplace...! KKM cone Outlay for Shipping Charges. .,....... [.cceceeleceees
Motor} Raritan to 1 0, L h ot Con Clergyman, § coh. aie Singers,$ jg, Organist, § we lhe a! a'arty xs ocapesiabel
‘ kK a5 HL Pup Be AE ster ' pi Mont. } Tickets, ee eee plane SErvice,$.. . ]. .eedeefs esses
Size of Casket ae iNeed ee Telegr., Phone, Cable or Radio Charges....]]....[...
Manufactured by Ae. ghee ed ne «. AR lt Cash Advanced.... stteeererereeeessseealseeer celeron.
Interment at. SOCAL ce ceeeees ee a ee ee eae ae
re aia . Be Bee
Te a ae Me ee Total Footing of Bill.....+. aes gf? 2.7.9.6,
EGDE 5 & oNis whic dante sae iales'tin'¥o + Wile c bok + an cee. wa
Section No........ he $
ns aaa TAC), oan azsTacle. die ¢ Silex ka eecalim Fale
Dingrans of Lot or Vault OWE Ls 5 ose sbins Wiluees «'s Entered into Ledger, page... or below.
Date Amount Paid Balance Date Amount Paid Balance
N j 7 T eres . ==