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Collection: Original Records > Death Records

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

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2 () RECORD OF FUNERAL did Wes PEE owen oe Name of Deceased.>4% . ul Residence. . Onl bod 4 Morr ba CG Cision enero sae ee eta lds cher. il —— SEER Sh foe 9. -++ hae Order given by Lhe, haves. darratch ds coh wapegs Ms erin) Waalnde Bor My Sota eee ete teed ots _ (or informant) (State Kind) How Secured.:.. ol hes kkk oat . yy Mads chemheiawe wos git Embalming Body ....----. ec eeeeeeeee ere fer reer ete ces t 5 (Name of Embalmer) . Bbepatiind s dlisinss «0s ae Re Noes ee Barber, $.. +2000 Hair Dressing, $...-. [-..0--Jee(Social Security Number) . Dressing Body,$...-+-> Underwear, $.... . ...-5]Name of Employer...Ree ne Bae eRe Re 2g es tapinme teed s+ Suitor Dress...ececcsccc eee ee eee ee eet eens ee tlees } (State Kind and Color) Bo = CA reS:. bfivis o:4 wie cele onisisiels ols vices ocie p0icis 6.nie ¥ pices eiele S19 Slippers, $... Pn es ice: Ss. ce heen pits + & = cola Shey TE ORO Sle TN cos date dubs Riogls = Folding Chairs, $.... Tarpaulin, $. ..5-+--[l--eee efe es: (Date) (Hour) . Candelabrum, $.... @andlos Sure ov vies sinless + 3-0 Sabeaens . Res AN Ualatesh. Sey ph Oral lore: bene Qcaversimerspers Sisto s Door Spray, $....Cree, Sila os wo orgs ae thoay deen WA i 2? *s Funeral Car, $....Ambulance, $....--l]--.+-++}e+> (ears) °°" "(tones "7" (Days) Limousines to Cemetery... Cin KAN Sees eee 6 eed DL, TIOOMPPY coe cees /(.A-.m. Autos to R. R. Station.... GS. eins ct ede: ben eee . (Day of Week) CHlour) Getting Remains from....-++ee+eeeee reefer ees tut : pee! Lenny Mor Prat Taking Remains to. ...:eeeeeeee reece ee eler eee eetes Sg Sir Trip to Coroner’s Inquest ....+--Se tae, somes Ree ¢ Clergyman.:. 07. WV.. LiL MEU, eee eee eee ene (Address) Delivering Box to.. . cece cece e eee e eee ele reer cfers 2), RSEBIG OF GRO DRCCGREE. 9 Fae eer meee Sew rg one fewer Deliver Flowers t0...ccccececcc reese eee e tense ccetere } 1 . Birthplace ...c. cece cece epee cette ener eee eeseeeees Removal Charges....+++s+ereeesrrrer crs sierrsees “3 . s ( ae Procuring Burial Permit. ss Sette and ple’ WO Ae: ° : uml an istri Resided in the State. . a fee Tec Goiiehy * Griams' (aktatis) ". —Certif.Copiesof Death CertificatesNo. ae ee ae Fe ysician’s or Coroner's H Place of Death. (Zod Unon.. leeronecdites Sb.. Pall Bearer Service, $.. Use of Chapel, $... }..-+-. -+: Cause of Death: .....A orks be i isieas a eli > oe Personal Service..... Mer Rarer tne see a . Contributory Causes..... Cee wer eed! oe SOT ray tote Te meen 6k He FER tale PR ae eee Eel cs oper Gross Total for Sales Tax...-206.-2000805 Re 2 . re ae ‘ng ease Outlay for Lot. .... ccc e cece eee eee eee epee ees Certifying Physician.....b veneaDa. ras puncte Fe Cremation ..c. cs sogcgsncnss prereset es . CHEMBLION. .. sa. ieevecretcesnersses sce se nelnees ees : His Address. ...+-+0+. ne reer s pean atlas HEE .. -line Death Notices in...Papers ..++.fe+++++-]cana: Wane tee Me iat ce a This ick sneer ss ae «tons . N Name of Father.....Ze ani ey Nae San Flower, $.°. Paleas; Re Maiting, $... .--sby His Birthplace. .....ceece eee e rece cere ereeeeeneres Rental of Tent, $..of Temporary Vault,$... . .-.-+++}-4 . — Opening of Grave or Tomb.....:-.eeeeefereeeee a Maiden Name of Mother... 290i) Lotte Pe ayeletneeocecee ih ore Lining Grave, $... Rnwabine Pievice, $x. (blvwi sss obs ; Her Birthplace. .....eeeeeeeeeeeee reer eeeeeeeenees Outlay for Shipping Charges. ......-0-0 eile eee ef d r Moto ; Clergyman,$... Singers,$..Organist,$...]. ..+-us ‘. Ship 2 Remains tO.. . cece eee cece eee e eee see reeeers Railroad \rm: $ ae Aerowe : 4 é ; 1 " or iroad \ Tickets, eta ciate: plane Service,$... J--++++> ve i . Size of Casket. .. 4% gage a CREST aaa Telegr., Phone, Cable or Radio Charges....]--+++++ Be [ Manufactured by: :::. oe, Ae ge ty. Mele «cian econ pry mena Lt AL, SMe t . op ‘ ut of town Undertaker’s Charges.....--iJersses rE ! Interment at..V7..506%. rece er { Crematory].. Se ae. sR ROL creel. t Lot No..+-+++++++ ram ene SPR. sg tues a ce PUtinw 5 Redan nee.cle sete re ai ee ee ar Total Footing of Bill.....eeeeeeeeeees ee. Js Te osc etete ehelae vg aie eis ort fare wie sdle © sere are o's) letelerseonam . Section No.....e2ee0+$ ee 4 e ay Balance. f.i6 6 od cow os Ce ABS (4 Diagram of Lot or Vault Owner. ..-.seecceeeeres Entered into Ledger, page... or below. a Date . Amount Paid Balance Date Amount Paid Bala saad .