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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

Total No. %8..6..g24+ tog Ne Bi eginot Wie Lett s Sebi ina ta
Name of Deceased.. CAMO VO6. 660 eS cece cence ec cee cece cece r eee eeeenn ene sneeeeeseeseeensececees
[. Married CO Single 0 Widowed D Divorced (What Race)
Residence.... tS EN eee CiseebnaL weit
‘ at, ep ttcseee en eenee reese seees ease ns
Charge to.. Aecavscevenrts. eb S ial’ # g5 8
Add 2735 Seb , an Complete Funeral ..... 22.. 2.. eee $l.. O/.7.8.,
f ai ale ee Sie a ides se oa a CAS OUT ere Me etic clo oy wisi din ante yw re-aie boob acell gee gis bee pra es
Order given by Burial Vault or Box ....0.ce eee cece eee efec ence elece ees
(State Kind)
How Secured. ... A. FUTP ML ccc cece eee eeee Bimbalming BOY <.5 oe sre soe ape mosis oe) e's vies eel Wile ZO), 8.8,,
(Name of Embalmer)
Deepali . vic ns las bo a oo on ads hee caw ewes * Barber, $...++++++ Hair Dressing, $.:. ...]]-.+.--+. --.++Dressing Body, $..... Underwear, $.... . ....J..05Name of Employer. ....0. sseeeeeeeeesre eee eeeeres Suit or Dress..... ictiieabed Pee one
———
tate Kind an or!
Address COSCO R SMHS KSSH HEH HRHHM CHROME ELEM OSC CHO OCHS He Slippers, $ enh elect} ose, He eT onsgrrnilg eadalastl fis tata.davaMeretigiaincatate
Date of Death. (Asaq,. : 32.. 1.7.70 J3.0 aun) Folding Chairs, $.... Tarpaulin, $...-.fJ---.-.fee-ee: ie (Date) : (Hour) -. Candelabrum, $.... CanGhets Ss ose ek es fle esa aeee eee eas
Date of Birth. Ayel eae: Ae ), & 75 A: Door Spray, $.:.... Gloves eG icis cpcdves ollnates stolen st
Age ‘ts // Z. Funeral Car, $.... drabulance; $eii.< si es Hoes owe claw es ot
ated TLRs (Yeas Gigonthsy Gay) S. Limousines to Cemetery...@$....-eeef eee ee feceees
Date of Funeral. Sf ll Kien tes, ete Ae //.Ci.m. Autos to R. R. Station. ... Oe Ra, ate eter A) Bs pao
. (Pate) ms om Gou) Getting Remains from......sceeeeeee ee cee ceefeeeeee
Services at: iWin’ . Ae vsecececcnces age eeees Taking Remains tos.. ..0.lceseeeeweeseecpescecscteeseae
Clergyman::.... og loqnahixe , Aran Aude.. .. Trip to Coroner’s [Inquest . 6 ose cen siesccsss dean ae caleees em
ae (Address) Delivering BOX tOloe sae. ni cs ems wie eis cle vipie sa. [tees a0 allem clas
Religion of the D MRA ARAB. vec e nes Delve PlOWGER GO 5s aris a gnis vn cle aes p0¥'e bo fly en vase ete
Birthplace ... Sn. : Teemoval Charges 4.. c.cc eis sea coe 6 8 © smn <oMfleots «ope cei ate ania
Fig it Procuring Burial Permit. Pee Oe ey ae a
Reid tn tone. rae Ree, Sains" ‘tea (tei . ___Certif. Copiesof Death CertificatesNo—_. ....)...
. : ysician’s or Coroner's )
Place of Death.. ~AUVtrd.. Cfeacnnrecker,. Wo.. Pall Bearer Service, $.. Use of Chapel, $...l]....].----Cause of Death: Csn0ncha CS: Piraoral Seevile. ov insby ss ods ss uek acon essere ae oad ewe
Le gee SS OPE A ie ee Be ie Gross'Total for Sales Tax....0.0.e0ce0ees ee bs F9.
Uta COP Lat a oe 6 hos nce tleie drs fis ro cas ousi vere: nal. gia Wier e a Sdeleify sate ae
Certifying Physician. 71.0 Masren. Ri, ee Cremation EE Ae Peete rr 5. comma ohne,
His Kadvcoxtla da &” Lam. Cobh, hue hors. ..line Death Notices in... PADGPER Se cll dese [ote ae
Name of Father.. Grucn.. Loe ae ome Ne mca OE ee (ene ee
Rental of Tent, $7.4 of Temporary Vault,$... . ... 2 Spe
Opening of Grave or Tomb.........4]]---/.@. .9.9.
Lining Grave, $... Lowering Device, $... }..--.-].-+++Outlay for Shipping Charges. .......0.][-. eee ee [ee eee
Clergyman,$... Singers,$..Organist,$...}}...-. .+++.Ralitoad \ Tickets, $. 4.64. Sep RETVIORS.«. Sek cctv s. é soem
Telegr., Phone, Cable or Radio Charges -.... )-.-+-+-. e++++Manufactured by.::..c:seeeceeeeeee cece neteeeeeees Cash Advanced), . 2.0. oc siete cece begs swe ere vere [fe Seiem oe feice wie
Interment at.. lr be yee ee Ae, mee
LOtNO.-eeeossssneesse seine get oad lg oc
Grave No....seseeeee: Total Footing of Bill......seeeeee sees $I.. af. O).9.
RUMI dois aie vie's apart was 9, nie oes TE 0 Sepia dew o aew ale CML Sry eas ysretel
Section No.....+2+605‘ $
—; ‘ Balances.. 5. asf eke Diners a « sale ne et
Diagram of Lot or Vault OWMer. .. ec ssenceeneeee Entered into Ledger, page... or below.
. £=~PRalance Date . ' . Amount Pail Balance