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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
RECORD OF FUNERAL
Total No..%.5... wipes Yearly Nos ei o6 oo cbc n es AL pate.. Lang.. bd etree vitae 19%¢
Name of Deceased. . “74974 .77. Cher dor . Prosley 9 i eager eee lle Fs eal
arried LC Single Widowed 1 Divorced (What Race)
Residence. . a a te Ue ey eR eh esaubetacnal Chena eevee x PAB) Binal alee 5 COON 5 ge. eee Te Sey.
Charge to:. CLawwer. Nanay’. ! Aaah.. eee ;
: OMPICUS DIUMIOKAL ists oss nt o tue sine 2 tine 0 wee 6 OD le cee ce ole ve.
address LO (ing. £11. Bean. Ub y i Ol dogs ee AGLI ei Bee Meee sleo.,
Order given by.. athe ste tee eee eee e tenon eeeenees Burial Vault or Box ......0ceeeeeeeeeele cece echec aces
Imi Bod (State Kind)
How Secured.:...% Embalming Body .. “gs wii ai SO . ae et nee
Bee nation ok Ee Te or fh ee ee Barber, $e. dyn 6 air Dressing, n'a io hee © 4PRS To lew he
. Dressing Body, $..... Underwear,$...]]....[...
Name of Employer Cat @ 0, a, ie oa ne! oe a oreo
(State Kind and Color)
POGROOG os oo oso essen soy san noble sity b0Xe'sn nine Heialeies Slippers, $....... BLOB thos» eSn's 5 on can g aL te or
Date of Death: Folding Chairs, $) laa Tarpaulin, $.....]/....[...
nah ae Candelabrum, $.... Candles,$....-.-11...1...
Date of Birth. . Door Spray, $..... Te Us . eS,
ni Funeral Car, $.... Ambulance, $i. .ece sce «Hid cre gcdlle at ones
rie et Limousines to Cemetery... Gy: Sears <Micdera os Is wee cha einer cte
Date of Funeral m. Autos to R. R. Station. ... Fy 2 ie. se Se
; Getting Remains fom.. . disla ee cs ws Mid vee elew vee
SOT VICOS AE wk ite, os ccd Pe Sele ates oedie og Mosh chet te, eran ates alge Taking PGI EIS Oe Scolar ee alolcarcs Adam aie Cee us coum uy: wued =
Mtn eh waite te 6 Weir lea “Tripto Coroner's Inquest. «5. essex soe se oxen dacs clea ness
us . Rg ge ry es er (Address) Delivering Bax ta 8.595 6 ces vee ll d eaedies Role Lend coke
Religion of the Deceased... eee eee ee Deliver Flowers £0.. 2.0. s)csses cu deseseece calls oscoesb estes
Birthplace .. wet Nah.. Y 0S Coby. et ee Removal Charges.....0cccecceecseesevsle. ccs. [eece ce
: . Procuring Burial Permit... Ae Sa bgued s ieanes . lenny irene Y
Resided in the State.. 2: or County), (Years) (Months) . __Certif.Copiesof seg. ALCS i . e ee
ote ona -Pall Bearer Service, $. . Use of Chapel, $... /....J...Permonal Service. oils sche dd ws nae a Ses csalhideces fhewe ck.
Ona Total for Sales Tax........005. Bhi eeu Mees vitals
Outing fOr Lb. «cis ose sect so shes gs eed avis eres Dlbecs .
RIPORER RUINS 25.2 di 2% fies v 5-8 Weis a anillgow acs oc ora sie cially ene inert
line Death Noticesin... Papers .... . ...0ele.00a eee RGAE Pe Cee . en Pees
Name of Father. ***! Flowers, $... Palms, $. me Matting, So ea . sear . . aes ©
His Birthplace. Z»~ &~. Rental of Tent, $..of Temporary Vault,$... . ..../...
; Opening of Grave or Tomb.......... ...clee cee.
Maiden Name of Mother........ccccecccecccecce Lining Grave, $... Lowering Device,$... .... ...
Her Birthplace.. Yo-fecm.: ee ee Be aah Outlay for Shipping Charges......... . ....]0..-.
Motor Clergyman,$... Singers,$..Organist,$... ]....]...
EOMAETG EOC 5 shes Segara w cpa ee aies « ye edie ee datitimea : :
= j Ramone \ Tickets, By msn AcroService,$... ]....[..005
Size of Casket.....:: Lo POG ne ee aaa ee Telegr., Phone, Cable or Radio Charges..... . ....].0.05.
Manufactured by::i:....ccccccccccceccvccccccucees Wan Advaiieed. 3. ee el. i ak hb ve bewateanbis enn
Out of t Undertaker’s Charges......]]..../...
“Auberene aes i 500s dias ose ee Civokebekel. { Cate A 7 ae ee ; e ee ie ies o ote Ae, lhe Anh eh
Lot Now.. essossseesee} Sie a
Grave No.... bag as Total Footing of Bill......0.c0ee cee. fe
TAR. Wea See HM pa ¥en pate bagel cx koe nhl wo Ce LS
Section No.....0cce0: i 2 $ — .
“. reas BUMBOSy Col Us 2h aya . Mee ec
Diagram of Lot or Vault CAPRA. 5. lela ergs Entered into Ledger, page... or below
Date Amount Paid Balance Date Amount Paid Balance
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