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Collection: Original Records > Death Records

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

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4 Total No.. .Z...eee0s Yearly NOw.c.sscsssseveseees Date. C/f4....LO". 1942 Name of Deceased. 440.0472. .WY. AZ SOY ale uv desires Dearersie abacepe ties a re Siete gael srwly: there ce, ake fess totes aouaie Told guia oh 0 Widowed 0 Divorced (What Race) Residence. . ay MAES. Leg. ARP ccc eee ee ert are ee Se Roc ctt ened ee eeeebleewenetiowess Charge to wMeeee Complete Funeral.......et, sas Cee arid ree Address, .//£ athe, : ; We Cham fe /e Casket..1. Uecwtt Cuaetnel. huanrtane, . 00.09). 70, Order given by. ene Do nie arm econ gen ensees Burial Vault or Box ....0sccceeeeeeeeeeeeifeccececfecees or informant) (State Kind) How Secured.../A2n4... vee plete TOeee Embalming Body ... Geind ieuenticey’ ccf Occupation ... AL-484. ergs. she dasha.) Salameuaaten . Barber, $.....+Hair Dressing, $....]]...-J..+5 : he (Social Security Number) . Dressing Body, $..... derwear,$.... /....].00. Naiie Of Mplover. oc..) . sis» sidiale dots wlvlele oisleue Bielgiaie > «et ea Suit or Dress.... acc hesnaang poe fo tate Kind and Color! Address ....+++++ eee hae) ee ee OrRS ee Slippers, $.....6-. ET ee eos er a Ayer Date of Death. .Uh./3..1 240.. 00. 714. .Gam-. Folding Chairs, $.... Torpaulin, Sins 1. Vd hea (Date) (Hour) . Candelabrum, $.... Candles, Seti soe ed oF [fie seeceiss vfs co eee Date of Birth ET Vee Wc ee ee Door Spray, $.:.... GVO, Boiss ke ce este caw sft ca ee . Si ee: Puneral Car, $. 4.. .cAmbulance; $.. cielo. ce eden eee PEP en aie: fs vere" (Months), Le Limousines to Cemetery... Sit ore as me Als ete ate ees Date of Funeral..<« / LB er x ASO ae Mra Re M. Autos to R. R. Station. ... @ Ge 5) Bas.) ove Wecetedlins ss ales alee cette ; (Date) “D ] hay on ee ome) Getting Remains from.......ccenesvecilessencedecoes Services at: :: (°7Uu. Megas, Manan, 20, brs -. Taking Remains to......eeeeeeeeeeee RRR Re, Ee Clergyman::... Fk 9. ARR ee mR roe . MR Bla, Trip to Coroner’s Inquest ....+++++eeeee-feeeee safer ees a thats (Address) Wel arihe: BOAO its « 6416 oS bole: ydieoe Sigtere. sym eiea'll s ane axcooliane alte Religion of the Deceased...77 0.0.. +++ fete eeeeeee Deliver Flowers t0...cccceceeceececeescerelcccceafesees . Birthplace . Cao "aie = ri, WV havad ee,, ve eee, 1 Removal Charges.....csccceecccevecceeeleccesccleeecee : iy a Procuring Burial Permit.. : susie nad bien’ Shot etee. te umber an tric one ee ee ete Ae Gress" ‘Wa’ isi} “. —Certif. Copiesof Death CertificatesNo. I}.. . . Place of Death. Aamclte, .<Arerng, Naefrtole 4 Utley Pall Bearer Service, $.. Use of Chapel,$... ]....]..5, Cause of D eather atavk, Le worrs POWER OU V ICO? Com Secs ga se eo cde onthe sepa ae om hea e tee eee owl ia pense Ldcaahs + vA WONT D2 cop Sar Nigueaias pHs. callieG XERGLoTA 474 Contributory Causes. Alemaccolegen COE CHOC OMA AO ate ce tists: Spin. siy 6 CANE CPs Arcee a) 9-5 yule'sno.k ee alfote MNeaeha w eager Se Pel TOP MO TOK 68 sis ods eta yea as $I.. ek. /0.9. MrAretak, Atgererelton F AGAMA TOr LOT.. eee eee ce eee ee tele eeee lene Certifying Physiciar. . . Chere: i ge oye S++ ++ Fe+) Cremation....6.cceseeeec esses cece teafeee eee efeaes Tia Addroia: AT. Ok. Unakhg ccs. ete. Es, ..line Death Noticesin... PHDGRS oo cx Slo ae sles ielere eee Name of cans hatin 4 4: etre Flowers, $...Palms, §.-. -Matting, $... . ....].. His Birthplace. .. 4% GOKU HEY oe eee eee Rental of Tent, $..of Temporary Vault,$... ].... .. , Opening of Grave or Tomb.....6.0cccellee cece efeces Maiden Name of Mother, face, 0 NAR Elo sicin sw Liting Grave, $.%. 0: Lawering Device, $..vcll.es ce ches Her Birthplace. 5 n.00. 6M see ee coe ts wend H0s poten Outlay for Shipping Charges. ...... 000. . [ee cee e eden es Metor Air armel Led Clergyman,$... Singers,$..O ISG S sds Wille beans Le Ship } Remains to Q SMM oe Wee : i ht eee ey se Ot sees conte $ . a“ ‘ $ =a pees ro : i ar : : ‘oR or otor gp Pewee eeee plare Pence eellereeeeele Size of Casket2.0./ 3. Abarat oni cee ‘ oa Selsiots $2 Telegr., Phone, Cable or Radio Charges..... . ..-++Je+> Manufactured by . ce af gen g. sr t 9 ois a j Ne: ae ARTES A oe Cash Advanced.... seveteseereeeeeaeneeadfes eas oe YO ce Rn . 2:1 aaa eerie ci camila ae aanas (Nem er Lot Now sesssseeeessessssl Sigg at so esvvc.iussiosscueeesecceeess Pee Grave No...scccececces Total Footing of Bill.......eeeee eee $l. 8.9.1.2 9. CAPRIS vo bing rs) 0 Rin ota 5 cals: bal'e Scere acme, sins 4ip ols ajay, avo ee Olveanetee sue Section NO.. << uss « vas do $ ~—_. —— 1 ie co BaIanGG en 6 aivisiek «oat $ sitinle: we S can Diagram of Lot or Vault Owner ttt eee eee e eee eeee Entered into Ledger, page... or below. Date Amount Paid Balance Date Amount Paid Balance