Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 324

0 Divorced
(Husband ]WiteL] widow
Pr ee ee i ee
How Secured pececeeeeeeceeeeees . Smbalming Body ..ve TCA iat en ate al
Occupation.... Mana ALS, yD ee Barber, $.46 0-64.16 + RGAit LITOSINE, Bs ce <0 cos «o dtahes seers
+ PLR (Social Security Number) . Dressing Body,$..... Underwear, $.... . ...:.)eee-0Name of Employer....+++++++eeeeeeer: nhs Sells sae Shas thicey POMBAR. yo oc ick 6.0 tae d vcnen ea ok chin Fe & lbs vate Sedat Sere
—" (State Kind and Color)
ACOPeSS occ esie cea ghes a egnie oes + oaictinin le 9 Bin -++. Slippers, $.....605. Foe, Wis casks occ ee oatedes acess
Date of Death. “4+. ho ies ae 72.0 her _,. Folding Chairs, $.... Taraaliti, Se ssa gct were ae ahs ose
(Date) (Hour) . Candelabrum, $.... Candles eRe sic dc eikate alli tw a rele arses.
Date of Birth. bac ae eee 1 LG Pa eh Ore Door Spray, $...++. FAVOR Bel vn so vb osu hl denen towweles
hes LY J Es ie Funeral Car, $.... Ambulance, $..... [...0-[eeeeee
StL ells (Years) 9” (Months) "°°" ”* Days) . Limousines to Cemetery...@$..-eeeeeele re eeeefeeeees
Date of Funeral Me/. 17 . oAeetemtty. cee. %, Eu. Autos to R. R. Station.... @DSe cv cvvesscvclesndunafee sede
3 ya (Bay'ot Wee (Hour) Getting Remains from. .....:eee eee eee ee fee eee cfr eeees
Services at... . (OVAL << ste e cence een center ones Paling Remains tO. oid es. .oecs sce ece bee sles es ego] + owen
Clergyman.. <.¢Lare hewn, LUA. veces Trip to Coroner’s Inquest .....eeseeeee ec eee cfeeeees
: PONG eriNg BOX ii eee kk oiase cheek hek eee iHes vat enlle wae
Religion of the Deceased....7s.+eeegereereenerreres Deliver Flowers t0...ccctcceceeceeceeceeele cece cfeeeees
Birthplace ...[2 ALAAITIMD . CPG PRA cc, TROMOVAN CURTOER ciy cvs cacy snceare seve hice telbew bawec [te swes
¥ Procuring Burial Permit. Bea yee a ign an nnd c+ *
i in the State. J. Gees sees het ee be ees oy ‘ . Number and District)
Resided in the State. . . Hee City or County) — Certif.Copiesof Death CertificavesNo. Se eee
Place of Death... fa on mele. ALLBRA. UE Pall Bearer Service, $.. Use of Chanel, ©.. sen cca leks «ae
Cause of Death. Lh rterrece. Yarrutor Fipet poe BG vada e nie eh ieee ba Ses sce Mtaes bial aly 6 Wit
' _, lateceten c's ere whalie 10 eugie eSbjaele, 6: Apts. B.0n"e -AL@ie HR. 00 '6.0-e)saiibs: o48 fe Vice: a PS emilee
Contributory Causes Le etrthert. Ag frsobematts: a) a Hs bile olb'6g a 40 ho He rend hk hiss 6 oy Net ae
a. ee i nave Gross Total for Sales Tax....00ce0eeeee8f BP,
Cetlay for Tots ihe cee de cil ge canes sew cee 2 odile oid
Le LL) otha NS POTEAO ic ao ous sid nly Dv pleole pie eos: d conort edo one § . i iguaushaisee (ties cfg
LAr ..line Death Notices in... Paiere . oscil raps ae iets «
sb pia detegesmeton'e a's tit sidinetitcntag er ttttet eee rtets spec ees
Flowers, 4-:.4.Dalms, $. We Matting, (4 Shee ai
Rental of Tent, $..of Temporary Vault,$... . ..ae ae
sleiaok sie ot Uiathier! Opening of Grave or Tomb .G1hra. CRY..
Lining Grave, $... Lowering Device, $... . .---++. ee++e
Her Birthplace. . \<@Tt% Outlay for Shipping Charges. ......0eee ee eee reefer eens
Motor ; : Clergyman,$... Singers,$..Organist,$... ]J---+++s[eeeee
Ship } ap ‘ / Railroad . Tickets, Bh opie dk plane Service,$... ..-eeefereees
Size of Casket 2. 1.0.0 fess Waka Telegr., Phone, Cable or Radio Charges..... J-s++ee+[eeeees
Manufactured by. . Aa.. & isd Pay eon on rs te ae ee
“4s ut of town Undertaker’s Charges......-\[eceeeeelereees
Interment at. ..Coly.. Gere. ain io Os, Lge T Belvoir treason ss aur pene tae, 2 kee
v : Te Nii nee aioe acl ol A sd dered eacgs atte as acca Rane er ae»
Lot No.. ..eeeeeeee sees: ieee a BH oa ie code WEL deeds eke vie bares 70%)
pete yt ES . apa Wootag SEIBI «cacti giuscessee tases $./.8.7. .7.2.
TORRE ers Nd hess che chute 2 a.m p-ohauanenss a's Coeetlle otis SR a a wie Ss
Suctatn NO.. ssa ace oes hs = (P OT yy asec ead
1 I Balance.. SANS es el oe ees
Diagram of Lot or Vault Owner. ..-ssseeeeeeeees Entered into Ledger, page... or below. i
Date Amount Paid Balance Date oe
A
Amount Paid
ier a Forward..
js pele PNGiske s waa + cree Cee
. Me aaaaens sa 8 tors ae
. WY lee Mews tia ee $