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Collection: Original Records > Death Records

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

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Embalming Body ...... Te i RARE aS ae HAP Oe) 00S: Bere 4 ¢ Occupation.... cies rates. bel Eto Barber, $.....,., Hair Dressing, $.. .. (Social Security Number) Dressing Body, $..... Underwear,$... Name of Employer.. ORC Seri yaar eat . Suit or Dress..” ay areas tate Kind an lor Address........ FAM ps np ile wsalain « oa tog DS Slippers, $.... 00. ‘ -Hose, $.000 000000 Date of Death. Gr Ph OR FS WS? Grn . Folding Chairs, $..,. Tarpaulin, $..... (Date) (Hour) Candelabrum, Pa kics ya, Candles, $..... Date of Birth. . ee. co ON, Door Spray, et a eS Gloves, $...... Age 57 2, Funeral Car, $.... Ambulance, $... oe ae to Limousines to Cemetery.. . Co See a M. Autos to R. R. Station. ... oe Se ree Place of Death. BPW 2, Cause of Death A, a Pouca Spent als es tetaliy ne 8 010 9 6 wie dk 6s TROD € 89 66) 0% SEI Pe ENO BoeiTAC als 6 9-5 QR =“ Diagram of Lot or Vault ENCES Se a eet ce Pall Railr Getting Remains from -Taking Remains to Trip to Coroner’s Inquest Delivering Box to Deliver Flowers to Removal Charges.... 1.. Procuring Burial Permit.... Personal Service ‘oad . rp: ° =n Motor }Tickets, $...0, plane Service,$ Telegr., Phone, Cable or Radio Charges Cash Advanced Out of town Undertaker’s Charges ye eee LEE CIR 8 SR e carere te ovate as.) ee, Te NUS # Sleek wre e anyicrg Gi SOTO SEO eae oP erte Qt eeeet Ba erty. ESO Male Hlehevelatelenr grass oes! apes TOS RICKER Barr ia et Fe SNES S.A Ce, oa Vide TS (State Number and District) —Certif. Copiesof Death CertificatesNo. J (State Physician’s or Coroner's ) Bearer Service, $. . . Use of Chapel, $... Fane es Me ee ware aor ie pe BR a ee Diecaete, © ROT PE ts in he ee comb ye . Gross Total for » gg a ey oe ee a $ ce Cad aah) MST On oe aan ty ie oa --.line Death N, Oticesin.,.. Papers ... mi net sithae SE gg One ; Nimes of Newepepiry’ 78 * ttt teen Flowers, re Palms, Wrage Matting, SS Rental of Tent, $.. .of Temporary Vault,$.. Opening of Grave or Tomb Lining Grave, $... Lowering Device, $ Outlay for Shipping Charges, Clergyman,$3.¢r. Singers,$ rie Organist, $ c) Wee ee ES 8 18 shes Ong ce SO oes eee ceees PS 6: eae a tage) VT OT soe ay Uk pee Or ORs ial ai 0 Re Cen ign Wi ao . ee eee vig? %)'@ Saae 6 Reals gee ig oR OME CDs’ Lek Om ener g! Irarmry + © 00 O58) 0: [ie orgie Re '6 160 ene te Boge Oe 85% ot s:@ ua: SS Soe 6 oe hee '& oie oe a NH Sa aI tl CN Ue me Ty S'S LONa er sha Sly eee “pe SSF 2 ale io wie wee SSeS P00 Phe 6 elgg OO 8 dye Oe orale ©. G, SG SETS BCG: wee ah Cie 0 Cee «eles 6 ere Tt S10 © o clle « ecewu a GH ek eee