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Collection: Original Records > Death Records

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

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—_ Total No..22.7...... Name of Deceased.. Chante . ' MO, HO ss Llob Date..teg..3207 PEON.. pos Be i coe O wi kM 0 94/0 ee acer onic Aah ihr de on iple 8 (What 0) Divorced oh oecccn Cat anomi en a e ie ge FP * ENG ahs saaeee ns ble Mack Race) e Louk a eel Complete Funeral .... ..0. $).% Sb i2 3 ; Casket..7.. 4,i a pulse tx S$ So erie odf 05 Burial Vault or Box....... .0.0. 00) baseaeslecas . os (State Kina) fe Embalming Body a SRE SU RC L SY . MRE MED ( (Name of Embalmer) ties ee Pena Nonny It rage ord = © Yearly No.. ....0,..., veered So ne bl uhisw ico COL AL ee Barber, $......Hair Dressing , $.. . $4flee veceselon ae oe Dressing Body,$..... Und Se erwear,$...]).00000./.00 a Stata SS iret ole olane face Zeleranalens 07! 9 BOE OF PONG noo wily TP ectlely chk soc, paetsronnicss: pete ed i be rs OUR Ono rn nce aura iot (State Kind and Color) aeamar Slippers, $.......Ho se,$....... Soto tel a eee Folding Chairs, $.... Tarpaulin, $... (Date) ..[1-..,.].1.) . (Hour) . ! Candelabrum, $.... . andrea. so oe CNTs tae s st Ne es os. Ae. oe No. elas Door Spray, $.:. ...Gloves, $. SER OTCeMcad . karly. ae ee Funeral Car, $.... Ambulance eT. iene eae (Months) , $.. .. . S i k e s u e ° “ " (ayay te eretolts Glgrcoere TT Limousines to Cemetery.. Date of Funeral. Crs .O4.., id .@$...... At RE es e+e.. 399, , J%. Autos to R. R. Station. ... ee ; (ate) (Day of Wee wey: ner oe tee (Hour) OE SPAIB TONE Services at. ; ; lacie, iti ss cicees Aivi it ele: Peeveeeee. iy ns e s e igs SAR lergyman.:. TSS etal Me itieg ele he. oe t e Trip to Coroner’s Inquest ..... 00 7 i ' Ke / nee : 0000000 sticks Ja) bo eae Religion of the Déceased. . . WeRRs eine __ (Address) R e iene Pane bois aSy Swe Gann Me Ole G pation he jako > ae e Birth place l irth place .. A A1tadd..Uelly rag e OT , Wile ey: e ee e ii uesol ET big Procuring Burial Permit. Oe en ee? (Os ik 7 7 . baka Hehwits aid Sibiudedy Sift 22 ses] «me umber an Rended tn: tie cE _ [or 0. 8, potiy or Coin’ * “Grae” “sins . _Certif. Copiesof DeathCertif Place of Death. rel, e% PO Cause of Death... Hame d ke ie icatesNo . Cafarkake...! Pall Bearer Service, $.. Use of Chap Spa ee l Melly see aay
Contributory Causes.... WN. SAB n es he el, $.-..1.:../... Rs os elise. ae Le eae AL. Eke eT) Let a ee Re ge LE NSS a ean ad somaya Fala bs gM SB cerrsl aro 9 SR g Pats Pa Gross Total for Sales Tax..........8 Eire ES LOPE Te ri Certifying Physician. . . Chraal Sens c c Te e e ae : LM od SF 'G.0 Crem ation NIST Ag re ae eh Se His Address.. Aodd.. e Oe . ei Ve hhe We ial ..-line Death Notices in... ss Re . ee ie oe ee ae en el Woe aleGeek ee Name of Father. ky hrr oe ove i Mese spe avies Ce ; Flow ers, $... Palms, §" vee Matting, Boa His Birthplace. . Sd Aes Ne es Ts ey . . Rental of Tent, $.. .of Temporary Maiden Name of Mother in Vault,$..]).... ..1 Cf ' . Opening of Grave or ee at TS . e Li = Aeli a: Lini ng Grav e, $... Lowering Device,$.. Mer Birthplace. .<lecnih.. o% . . .... ..__ LeCabe Outlay for Ship sui p} Rema2ins to. ah Size of Casket™ ping ges. ......, Sa wale a ollas ol angus racer. Aavd.Gomctany Rateel Tass -SingChar ers,S 2,% 2Organist, $2.00. 71) ' ‘ or Motor Tickets, ater bye if ‘% 7.. xnfwaden — Manufactured by. , 220, .. Sin plane Service,$ PED . Cie s Seiten avy Telegr., Phone, eRe (Par, Cable or Radio Charges....] ....)... 43 Pise cea ce. We. ar ae A te Sie oer) peers reer ut of town Unde Interment at..A er’s Charges....../1..../... Ldav ecebe, ta Ceren s, ee eigo ROR ocr elas ' TSS ee LOt NO eacasenss SMO TAT rac . — « cal yi adie GravNo. e . e.eeece0. De Wage Of BM Cede es ete lee ae ss eens <5 08) ot C!P 3 Section No....600... Pee tt ee eo te, ee . a Balance....... [le Owner. ... He eeeb eeeees Entered into Ledger, page ... or below. Diagram of Lot or Vault Date Amount Paid oe ee ‘To Above Bala nce + binaeeel i caceteawk lin ek Sse seo sie time Bocas: at iy Balance Date imerl laters : ad a a Amount Paid es To Balance Forward..}...,. : . Ane.. 6. By Payment..... . So O. lee oe e Balance sal Wstiwen Bes occ “le OES 2