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Collection: Original Records > Death Records

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

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24 RECORD OF FUNERAL Total No.~.7,.. oe Veatly Nos.) dscsaseecss: Bee. its. Pepe 119K, Name of Deceased. Make. SO eae os a en UMS 3 a iiuein's Sue-aive-whs to ORL Ra eas He bah ew aces [% Married i, Single is Widowed — (1 Divorced (What Race) Residence.f.95° LU Hawn &. Haass, Yah, : Sef cae cats CosabenaL Ie idow . ear eater wet ee gee Ly Charge to: ? Pd dba eee eiosecvevevies see cee s C 1 Fu 1 3TH 40 Address, 2457 “th tan, DN acl Valley. ety. omplete Funeral.. eis $ "3 NEE 8 ws PH Casket. 3. . AATMEOF. ccc ene e ees S78I\L9. Order given by. %. 7}. AAMQEY, 0. ccc cece terete eee Burial Vault or Box ’ . ea aeHege BOX ves Pe ie ice oily tee How Secured.:.¢ Me MA cs . haaén bale viable Embalming Body ... cee ceee eee eter eee e elon nes (Name of Embalmer) Occupation Dl, ae A wg % creo deduct a enadilarn s.ohe eae sacmia lene Barber, $ oe cee eee cces Hair Dr essing, $ i COR . CNC a ae Re _ (Social Security Number) . Dressing Body, $...Underwear, $..-Hisvceec[ee cece Name of Employer. . oT ooo eee eee eee eee eee cree AC MON Bis «<6 ued Siem eitin Cy ha Kinet ee HN Cake Shs & kak ade ee ree (State Kind and Color) PAGE OBST ca iele-p: tem 6 o:5ip © sib eaters TD TEE irnetnng Sole SET p ere Sire! aiep alls (2 Slippers, $ Te ERG, Ee a! Hose, $ Be oe et cerhe oa thet code tera lg bletatecwte.6 Date of Death. Folding Chairs, $.. PaSpAulini, Dison esis > 0. ]sieleterno-s[tot o's Candelabrum, $.. Candles, $... . ). eeelee ee ee Date of Birth. .~“*3. 1S inate! LEB ios sels OS Door Spray, $... SIOGOE, De 5 5 onan wlte ee flealy wih av ]eny soos Age . Funeral Car, $.. Ambulance, $..0. [. seer efoeeees Steere ean . ete a .Limousines to Cemetery..@$... [eee eee efe eee Date of as m. Autos to R.R. Station. .. LC A emer oe ogee . Aoi aoe ao Getting Remains OR. <n). sce ced dives ofee as naw. e eee 5 Services at. tr. Taking Remains to. ...ecece cece cece ee fece cece fereees Clergyman. Trip to Coroné?’s Inquest) 5. 5.2.26 sc5s cecil ew scecfee cece Meliveringe BOs baci. so g-0 es ere waiee'ses sie se lle ores y ale eine Religion of the Deceased Deliver Flowers t0..0cceeceeeseeeeeeee see ceecclereees Birthplace . Vl Hh e ) a eS Removal Charges...ceeseceeceeeeeeceed cceuccleeeeee a oan ee ee /6 Procuring Burial Permit. tslcnd Heise “abd Daisey)’ "oof CRLCEG, EERO LENS ++ + sd. g thy or Cust) iia) (iets) . -—.Certift.Copiesof Death CertificatesNo. ‘ he Piles SO Place of Death. AL AA-Ad . ge Calf. seen eens Pall Bearer Service,$. Use of Chapel, $..]. .. .0+. Cause of Death: Garemary " She on Deva ies: Paratha Service, one hey Ma cs we es colle Won cade a wa Contributory Causes. agri vor Fg ee era ee eet ee ey. 2.0. dr eels ee Mya a Gross Total for Sales Tax.0.6.06000eeeees gl. 39.9. Ota VALOPNEOte. « asellle do ceo ld tpetlt ce sle gone ic spre llvls aae eles gol Certifying Physician. . OA : a ry Ml daa rel sarasete las Cremation ‘ce Gallows Wega eRcas ots Tia ooo: fda cbiale Sree itn eat outall vie eel Las. wave His Address. . (Lt Va . .line Death Notices in.. Papers .. . .---e[eeeeee «wh ale eB liedk vd ISN poe ate Blak: a in temaeetaes Name of oe ™ Flowers, $.. Palms, $.. Matting, Sse he Gas oa _ His Birthplace 7 Rental of Tent, $.of Temporary Vault,$.. }..].. Opening of Grave or Tomb..... . e. .0 000 ]e ee eee Maiden Name of au as Lining Grave, $.. Lowering Device, $.. . ..Je.-05Her Birthplace.. danefir thao Cue Outlay for Shipping Charges. .... [eee eeeebee eee See} Remains to. “a>. 24594. eee eee Satie avert fierce ar A Os chub] . Pages Le i hig ene b oh or Motor} Tickets, $.. Acro: Service,$..l]..[.00. Size of Casket 464. sarge SerwA:.-! Telegr., Phone, Cable or Radio Charges..)].-.0-[eo000Manufactured by. : Mor =a a Re ee oe ABABA ATE, iii s a: Grass h a oee caatet one scaicte a lethis ball exepely eo Laub te letene Interment at. hn Siels siatera eadieeis on we ology Rect { Cre ae v =o se pach ule iad aeemmnieemmiee catia Vinal dba Lot No. .eseeeeeeeeee ee] Bile Wawig. x adhe! <fhsmen rants ceduaeh er Aeteenitl case Grave No..:. or Total Footing of Bill...0eeeee eee $. 702". 4.9, Gestion No.. ‘oe a Less. sfe7. . Fredeetoooenz.'. Metre aenaoriers $ BS. 1 I PRIANOB. oo ks e's ae ts $ i ti (a 1.9. Diagram of Lot or Vault Owner. ..eeeeeeeees Entered into Ledger, page.. or below. Date Amount Paid Balance Date e777 . Q r Ph “Aenount Paid oa Balance

24 RECORD OF FUNERAL Total No..~.7,... oe Veatly Nos..) dscsaseecss: Bee. its. Pepe 119K, Name of Deceased. Make. SO eae os a en UMS 3 a iiuein's Sue-aive-whs to ORL Ra eas He bah ew aces [% Married i, Single is Widowed — (1 Divorced (What Race) Residence.f.95° LU Hawn &. Haass, Yah, : Sef cae cats CosabenaL Ie idow . ear eater wet ee gee Ly Charge to: ? Pd dba eee eiosecvevevies see cee s C 1 Fu 1 3TH 40 Address, 2457 “th tan, DN acl Valley. ety. omplete Funeral... eis $ "3 NEE 8 ws PH Casket.. 3. . AATMEOF. ccc ene e ees S78I\L9. Order given by. %. 7}. AAMQEY, 0. ccc cece terete eee Burial Vault or Box ’ . ea aeHege BOX ves Pe ie ice oily tee How Secured.:..¢ Me MA cs . haaén bale viable Embalming Body ...... cee ceee eee eter eee e elon nes (Name of Embalmer) Occupation Dl, ae A wg % creo deduct a enadilarn s.ohe eae sacmia lene Barber, $ oe cee eee cces Hair Dr essing, $ i COR . CNC a ae Re _ (Social Security Number) . Dressing Body, $.....Underwear, $...-Hisvceec[ee cece Name of Employer.. . oT ooo eee eee eee eee eee cree AC MON Bis «<6 ued Siem eitin Cy ha Kinet ee HN Cake Shs & kak ade ee ree (State Kind and Color) PAGE OBST ca iele-p: tem 6 o:5ip © sib eaters TD TEE irnetnng Sole SET p ere Sire! aiep alls (2 Slippers, $ Te ERG, Ee a! Hose, $ Be oe et cerhe oa thet code tera lg bletatecwte.6 Date of Death. Folding Chairs, $.... PaSpAulini, Dison esis > 0. ]sieleterno-s[tot o's Candelabrum, $.... Candles, $...... . ).. eeelee ee ee Date of Birth. .~“*3. 1S inate! LEB ios sels OS Door Spray, $..... SIOGOE, De 5 5 onan wlte ee flealy wih av ]eny soos Age . Funeral Car, $.... Ambulance, $....0. [. seer efoeeees Steere ean . ete a .Limousines to Cemetery...@$..... [eee eee efe eee Date of as m. Autos to R.R. Station. ... LC A emer oe ogee . Aoi aoe ao Getting Remains OR. <n).. sce ced dives ofee as naw. e eee 5 Services at. tr. Taking Remains to. .....ecece cece cece ee fece cece fereees Clergyman. Trip to Coroné?’s Inquest) 5.. 5.2.26 sc5s cecil ew scecfee cece Meliveringe BOs baci. so g-0 es ere waiee'ses sie se lle ores y ale eine Religion of the Deceased Deliver Flowers t0....0cceeceeeseeeeeeee see ceecclereees Birthplace . Vl Hh e ) a eS Removal Charges.....ceeseceeceeeeeeceed cceuccleeeeee a oan ee ee /6 Procuring Burial Permit. tslcnd Heise “abd Daisey)’ "oof CRLCEG, EERO LENS ++ + sd. g thy or Cust) iia) (iets) . -—.Certift.Copiesof Death CertificatesNo. ‘ he Piles SO Place of Death.. AL AA-Ad . ge Calf. seen eens Pall Bearer Service,$.. Use of Chapel, $...]. .... ..0+. Cause of Death: Garemary " She on Deva ies: Paratha Service, one hey Ma cs we es colle Won cade a wa Contributory Causes. agri vor Fg ee era ee eet ee ey. 2.0. dr eels ee Mya a Gross Total for Sales Tax..0.6.06000eeeees gl.. 39.9.. Ota VALOPNEOte. « asellle do ceo ld tpetlt ce sle gone ic spre llvls aae eles gol Certifying Physician. . OA : a ry Ml daa rel sarasete las Cremation ‘ce Gallows Wega eRcas ots Tia ooo: fda cbiale Sree itn eat outall vie eel Las. wave His Address. . (Lt Va . .line Death Notices in... Papers .... . ..---e[eeeeee «wh ale eB liedk vd ISN poe ate Blak: a in temaeetaes Name of oe ™ Flowers, $... Palms, $... Matting, Sse he Gas oa _ His Birthplace 7 Rental of Tent, $..of Temporary Vault,$... }....]... Opening of Grave or Tomb......... . e. .0 000 ]e ee eee Maiden Name of au as Lining Grave, $... Lowering Device, $... . ....Je.-05Her Birthplace... danefir thao Cue Outlay for Shipping Charges. ........ [eee eeeebee eee See} Remains to. “a>.. 24594.. eee eee Satie avert fierce ar A Os chub] . Pages Le i hig ene b oh or Motor} Tickets, $.... Acro: Service,$...l]....[..00. Size of Casket 464. sarge SerwA:..-! Telegr., Phone, Cable or Radio Charges....)].-..0-[eo000Manufactured by. : Mor =a a Re ee oe ABABA ATE, iii s a: Grass h a oee caatet one scaicte a lethis ball exepely eo Laub te letene Interment at.. hn Siels siatera eadieeis on we ology Rect { Cre ae v =o se pach ule iad aeemmnieemmiee catia Vinal dba Lot No.. .eseeeeeeeeee ee] Bile Wawig. x adhe! <fhsmen rants ceduaeh er Aeteenitl case Grave No...:. or Total Footing of Bill......0eeeee eee $. 702". 4.9, Gestion No... ‘oe a Less. sfe7. . Fredeetoooenz.'. Metre aenaoriers $ BS. 1 I PRIANOB. oo ks e's ae ts $ i ti (a 1.9. Diagram of Lot or Vault Owner. ....eeeeeeeees Entered into Ledger, page... or below. Date Amount Paid Balance Date e777 . Q r Ph “Aenount Paid oa Balance

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

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

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