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Collection: Original Records > Death Records

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

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CEP Oe EH Tw screenees + Bee eweeseeunw es oO ed J Single “DD Widowea 0 Divorced (What Race) Residence. Maadd = Va. Ky , Fadel . Tonrth C)itusbana[ J Wwitel widow t ny OR ines) 5 ee sine vase of many ge ee Marty get PRE. ccs Sea 73718 Address, . . LAAB,. U Rbk . Pre Sis ase, Complete Panel mn oc Sd a : Arr han te Casket. ..%. Charmatai ec ecececcees ABST OB.. Order given by. Cheval. MiP sintty. vvcceece. Burial Vault or Box ... Ginie nay eee Sua tate nm How Secured..! Shred. mt Basen, cetleeiot radar otetlle aise om cl EMGREOIE BOO) 5 esos ps he eee s Oks ice dee. te, ; (Name of Embalmer) . Occupation....: A WN Ae Mnle © & ohn cs Bixlaloeeehing 46092 Barber, $...... Hair Dressing, $....]]....]... (Social Security Number) . Dressing Body,$..... Underwear,$...]....}... Name of Employer. Larsetl. ke ears 3} ae eg de Suit or Dress. ‘ Dlg cleetels ee ee ee ee tee ' Pay ocd . ai ls Ri (State Kind and Color) Address ... RR. vee Ua AAG. wos otf teeeeees Slippers, $....... fe: RT Dee . e ee ok, PE AF GeO) vst Folding Chairs, $.... Tarpaulin, $.....]..../... (Date) _ Hour) Candelabrum, $.... Candles/ Ss. oso. stelle s bene eledes ce Late ras dle VAOM Vis vaies Door Spray, $..... Gloves, $......ellec eee clev eee as Funeral Car, $.... Ambulance, $..... )....J... b Sevesreyie. he cas (Months) ""” "” (ayy °°" * °°" ". Limousines to Cemetery...@$......l.... . . cece ce ae /3.9,. O° . Autos to R. R. Station. ... Sameera i oma eae (Day/ot We moun Getting Remains from........eseeccelec cece lec e eee 1 Liar, oe . Pan. Taking Remains to.......eeeseecceecle cece. .] veces Le Cie. a gers Trip to Coroner’s Inquest .........-11... loc.. ‘ (Address) PIGUVENINE BOR TO 5) 0s vas dae os ose vl Mescda benef on eee e eee eect nett eee ee eee eeees DOU Or PIGWOTE EOS ooo scissg vos csicnie so atevee valle. ce hice, Birthplace _, Cotarenka oh hake * Soh) nie don, OND MGMOVSI ORATLOG Luis. weed oe ese cewe natn dlllpewe selecss te Procuring Burial Permit. . itt pete seers efenga ae i LENG Sta GOs.. 25. ll eee Laie. cuaeed ctl ai F : zymes ene District) Resided inthe State: . (or U.S. or Clty or County) " (Years) ' (Months) ". __Certif.Copiesof Death CertificatesNo. Personal Service DEHSHCC FORO ree eee dee eerioeae (Si Physician's or Coroners. . . . Place of Death. <1aae.. V. uae tet eeees Pall Bearer Service, $. Use of Chapel,$...])....]... Mee Cis yhodtes cst ielinc viae Emule che seks hess eae Gross Total for Sales Tax........2.$i]... /\8.%. : CHAE LOE AINE oghs winiaha ne sinis'v cS 4 adadow tat soclfes creaaten orcs Certifying Physician, . Zh Mt. Baackers vtiais «vie MINTO. «Bild dx mW Svinte sshd ude WHAl Ce sd camel Tis KAdvess lA ehd . Uaathy,. = Cott te on ..line Death Noticesin... PEON AEs ycsistd plc ence a Stee w he © Wire te neti as sha ee ee ee . Cee USING OF FOLGE oa. soc kids voce Oaks whe oa OER vie ys LTR Ree Flowers,'$. 2.. Palms, 3 " ws Matting, aE eae ye te PREM MBIP CAE oa, v5 E binco bau d's teyie atvue Sed ocelO d:sue alvin Sto Alaa: Mla 83 Rental of Tent, $..of Temporary Vault,$..l. ....]... 4 Opening of Grave or Tomb.........}...checeees Wiaiden wae Of WIC i 6 iiss oh Seis aree cc naw twit cn» Lining Grave, $... Lowering Device, $_..\....1... . 2KGaal Lad hotel <6) (Lol -j men, Sara A dea a ra Pe ee ig et Outlay for Shipping Charges. ........1]... ¥ ical , ei eek Clergyman, $4 :*~. .Singers,$..Organist,$... . ... a) da Messe} Remains to rcnrede! Barrer MM Maar Ne froad \Tickets : gers,$ iro coe : ge ¥ . of or otor eDPeoceccose plane Ose 0 oS Nhs wiense es Lewis Size of Casket 7.24 Macs. ac anl ees a 7 Me.. Telegr., Phone, Cable or Radio Charges..... . ....[..06. Manufactured by.““em.. . C & eae CREATE « pe ee CGRMtE POV ATIOOG ih Soe ws ot o's 'uie no's alo o's palhawuee uate a viaa ; = . Out of town Undertaker’s Charges....... [.cceeecfeseee. Interment at Eetamts: ernetary. (Alero teeny Ont of town Uadertakers Changen.+0 .2-foooossbor-2 Lot No.. ...seeeeeee eee Gilde ak sce iet is ake lk het Meee akon. Total Footing of Bill......ceseee eee, $f. /91 138, TIM Faro dy 0 byibs chin a Prat hs once # & antes aud ne 14 OEE wre xche vx te : Section No.....0.000. si $ ——. —_—— aaa j Balance....... Gea pee Diagram of Lot or Vault OWRED sry ccoia's AVL 1S x08 Entered into Ledger, page..>.or below. Date Amount Paid Balance Date Amount Paid Balance Srigwartslconte nals To Above Balance.... ....]... a eae ec To Balance Forward... ..... ...1$.... e00-ken sees itd By Payment.:..... Boss eens dle eg Soh.) Sel: eet, See of 0 By Payment «.. 66s ssc. $..40. .070. 3.74. Pm 5 ae TE le ia eee “een Hae Re eeedere ss. ret Wa i rr ee ae $.90.)0.0.\§. 9/182.