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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..737,... sate Name of Deceased. As a ea Ue RECORD OF FUNERAL Birthplace ...; ing. , Resided in the State Place of Death.. al, Wad. 1, Cause of Death .¢/ecd ttt Ktnr Contributory Causes, AN ottes, Apt 2 ee ee (or U. S. or Cit: Dressing Body, Steak eis '. Underwear,$... Suitor Dress......05.00.00...... (State Kind and Color) Slippers, $....... Hose, $..2..... Folding Chairs, $.... Tarpaulin, $..... Candelabrum, $.... Candles, $...... Door Spray, $..... Gloves, $...... Funeral Car, $.... Ambulance, $..... Limousines to Cemetery ... Bio eek sea m. Autos to R.R. Station. ... Ss cin ‘. Pall Bearer Service, $.. Use of Chapel, $ ; Personal Service : (Name of Embalmer) Barber, $...... Hair Dressing, $.... Getting Remains from Taking Remains to............ Trip to Coroner’s Inquest Delivering Box to Deliver Flowers to.......00.00..0. Removal Charges.... . Procuring Burial Permit.........._ —Certif.Copiesof Death CertificatesNo.___ (State Physician's or Coroner's ) oP ORO 0 ® Ie a: € Sie) © 5 9 Oe sees UG See OS, See Eae S816 w RCS ee Wie olbe ole oe fb 6 410 0 'e his © Om ee 8 ee ee eee STOLERPIR: (0 BORO 950: Se. 6 0 6 "sim Tew, Bese eRe c bin Hi wee Sala er leiplla see Se 6 wigs sae te g)s,a4ls ee eo Be ui 1 creme #I* esas, ak) WS 2, ile: al Pensa ei GBs) a) ove’ elc_.vigch Gross Total for Sales Tax Outlay for Lot Diy tart SRS P98 16 Wieate. wy ele esp wi go be Blane 2» 9.40 © ellie 6 © own m4 ole 6 © ole se wee ONO 58 0) Slee fe 6's & ee ee ee oy ee ee ey ee ee . ee er rd ee oy ce ee ee afe esses eC es Ceeeewocivcreceas ee i ee His Address. Al ABKS. i ..line Death Notices in... Papers ....])....)... 5 f Aoi 8 eed Ruse eles ck aes eo rh ea 5 Wine een a rahi csv « Name of Father./1 py Flowers, $... ‘Palms, § . oy Matting: Pee Rete oot nee His Birthplace... Ct Rental of Tent, $.. .of Temporary Vault,$..]. ....]... : Opening of Grave or Tomb......... 0 P0007 Maiden Name of Mother! Lining Grave, $... Lowering Device,$...]....)... Her Birthplace......Cnglamnad~ e Outlay for Shipping Charges. ........ 00..) 0077" Moto } Reaininde My) hs Clergyman,§ is ub Singers,§. « . .Organist,$ A eelnt . least na healer : x /IS9 OF Mour } Tickets, a plane Service,$...]..../... Size of Casket ./J.4°7. ! Pr ieake toate ae Telegr., Phone, Cable or Radio BO cd she Noten 4 0 Nehecae Manufactured by Leider PON ona ee nee pdt : ; re erg aie ATSiin ie 8 (ele ee tal\e enol End ¢ Haibane 4: bueliaiay sees ( t ’s Charges......]....1... Interment at. 2 RePEc cceeees Lae sa iin siege cens pokes Bea Lat NOw.-sesesssssesed] Shin aia keer as OT ae Grave No.... oF aan Total Footing of Bill........... $17.7.4)4.4 Section No........ BOR so ice sie « oh Ship tthe backs oes oes. ue. : ry Balance....... re Diagram of Lot or Vault WRT i os ca lhe 5, Entered into Ledger, page... or below. Date . Amount Paid . Balance Date . ee