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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
‘ie 6
Total No.4.¢...e0eee !
Name of Deceased.
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(Name of Embalmer)
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Date of Funeral. ot Z
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Getting Remains from.......cccceeeeelleccecccleceees
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Trip to Coroner’s Inquest ........05ee
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Delivering Box to.. ...ccccccccccccccees ee oe ea
Deliver Flowers to.....cccccccccceceees ee i)
Removal Charges......cccecccccecuece ee od
Procuring Burial Permit a re
tate Number and District)
—Certif.Copiesof Death Cert ficatesNo.___. ]....]...
.
(Sate Physicians or Corona)
Pall Bearer Service, $.. Use of et $ ce . ee
Personal Service i
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Clergyman Mey, 77
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Barber, Sicciccc
os Sees Hair Dressing, $..... )....[...
Dressing Body, $..... Underwear, $...H....)...
PALE OF SOTO ache 5 'v a) torn oles Meech eaten les deoweot (State Kind and Color)
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Slippers, $....... BORO G Sc: lca nel anand ional Weel cca
Folding Chairs, $.... haTpauUlingy Si. vccc a cee css stele ascot
uy vcs closing ales los wces
Candelabrum, $.... Camdlesy Soins
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Door Spray, $..... Glovess Sy ied nae elk
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_,. Funeral Car, $.... Ambulance, '§ 3.5
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€4Gross Total for Sales Tax....00-.... $1 oe lt
Outlay for Lot...
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Certifying P.Be
His Addréss, =.“a
DORON i as 5 ei. gibinye 4 HOES 2 yoy ooh v'ek's ee Oe
ees
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line Death Notices in... PAGO cee We ee gn thine nore
Name of Father..
His Birthplace. WY ote Ain
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Flowers, $...:Pama,
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Rental of Tent, $..of Temporary Vault,$... . .... ...
of Grave or Tomb.......cece
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occas. Opening
binineleave
&. 2 Lowering Devies'$..
Maiden Name of ae, 0
OH.
Her Birthplace
Outlay for Shipping Charges. ........]]....hecc00.
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37
ervey.. Clergy.
gyman, $3. -Singers,$4 2.C
$. Organist, $2.5'?. . . £9.).0.8.
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ee.
t
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ize of
Casket
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ie sid REALS aerea Wee eer @ alele els
Manufactured by aioe:
Telegr.3 Phone, Cable or Radio Charges . giledatoeedt 5 . . RSS STAr
Cash Advanced
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Grave No....ccceeeee-e Total Footing of Bill.........005.
$}) 2%. / A, ae.
—
ane
Diagram of Lot
or Vault
Date
eam . e
a
LOOM Te Sec eh Uellcs wa als 9 Un olka conn Slides
aarlelle wedi
Balance....... "GED
Entered into Ledger, page... or below.
ar a a
. Amount Pai