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Collection: Original Records > Death Records

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

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2 eee. banana kee Yearly Now.. eeceeeesseceee Date.. Cc/..; cf 6 Ane 19 yd. ebyeaiion Name of Deceased. .¢, QTM, KY EB LAS tire pint enie atest HEC RSMGL (ss sry «villian Sos ale sheekarabenccl te! a p 0 Married CO Single [Xl Widowed 1 Divorced (What Race) Residence: CAKex-4, o. Sark. S29 ¢ TE © nell Oe rapamecsuicaate: yy. , peta guise cpp bs tags t'y «apnea al veniey Charge to:. U0, AL Cheneedher ccccen, me Address...cAarage..([email protected] Con ea nines Se ee -) “9 Ad. ‘eh Casket..4. MAGPIES. ee cece ease LENS Order given by.7%44., 7 Aerob Ble elt he: 0.49 see sis Burial Vault or Box ........0000.. (orinformanty) °° °° *°**°****. Burial Vault or Box ... Tae os (ene Me How Secured... Shore. EW i en Wee en Embalming Body ... Ren eke sitters siege ae edtes Occupation.... aan ee ae eed Barber, $...... Hair Dressing, $....]....]. ; (Social Security Number) . Dressing Body,$..... Underwear,$.... /....1. Name of Employer....73. 00.. .ccceccececeucee ee.. UTE OP TMM ssc can ced pone 2c Setcvy be cl es : (State Kind and Color) Address..... 9 ewido hin 7 Bg.G WO dachibiwe vied x Ops 9 mF MRLw ap Slippers, $....... Hose) 6.4.. 5/ bod Date of Death. Co OLLIE, / dre. . Folding Chairs, $. 0.000. Tarpaulin, $.....]....). ; “ _(Date) . (Hour) . Candelabrum, $.... Candies, $. 2..) di, AB oes’ Date of Birth.. /. CF oes ods eS le Deere Door Spray, $..... Gloves, $......[).... Age ft} ff Sn Funeral Car, $.... Ambulance, $...../....]. ital ar (Years) °°" "** (Months) """ ** 4 (Days) 77 Limousines to Cemetery.. . QP.. scies Pees otis fos Date of Funeral. Gv, 3.2, . LU. true ee we bee 2..) Autos to R. R. Station wai tja-0'e Oh EE ere: Slee, ae (Date) (Day of Week) — _Ghou) Getting Remains from...-........1..._[. Services at. Gl deal “ Misanca 20 rrhwery, “ee. .! Taking Remainsto....--... Wy Clergyman.:.. Pe: ; Chebacins eri belle ee Trip to Coroner’s Inquest ..........1..._]. ws (Address) Delivering Box to.......0.ccccceeeee ll.. Religion of the Deceased. . cherthaare teen teeter ences OGIVGE FDOWONW TO. ec occa cs cesscecsquselteh..,. 4 Birthplace ... A. VITA, she aielvbeedeneetcecle. Removal Charges....-....ccccceeeeeesl 0.. La Procuring Burial Permit. Gaiden abd bine OTe bo um) ani ist Resided in the State.. .:¢ 8. or Offy or County) “(ears)” * (sfonths) * —Certif.Copiesof Death CertificatesNo.__ . .. «. , 0 ‘ (State Physician’s or Coroner's ) Place of Death. SMeP pe. GTI. wld Mew ¥ can cen Pall Bearer Service,$.. Use of Chapel, $... . ..._. . Cause of Death dh Wiebe ol. ay of. 7. Personal Service.. .......ccceeecec cual wo.. L. 7] —— EPA Nee sade wade Vas «4 HYG hsb bie siglo ne adhe lites hee tae Contributory Causeartrenga Magpbotin, TL OP OAM ow. 5 56 Fey's 900.5 0 Ph conway hie, CEN oe os t : soul ree . Coacdion Ht sormyiunsabecr, Ankur heredteg. Gross Total for Sales Tax.......0.. $]...7 55 2 Eas alls Outlay Yor Lot.... hen, . of. JU a salegdion «se &a.[ 5 Contd Piet NO.. leche acthe ts rare p OAPI IOE too Elon vl. Cee itis Adarea*. att . ee ee . ..line Death Notices in... Papers .... . ...0./.. Name of F ather. aD ds El TA ane fg Flowers, $... ‘ Palms, $7 Matting, See a ale eemecloa! His Birthplace...... Abvtaceci Y Sracdaie tess er ate aes Rental of Tent, $.. .of Temporary Vault,$... . ....].. : Opening of Grave or Tomb.........1]....1.. Maiden Name of Mother.. ak pena: OTRO 54 et oarisathlc wo Lining Grave, $... Lowering Device,$_.. . ... Her Birthplace..... Aecornerey, pote attiate saree ae Outlay for Shipping Charges.........]... 4 Bs ca y Clergyman,$3° 9°. Singers,$..Orga ISG Sie webs oss AQ Age” } Remains to . ee 88 ae os Railroad 1$ 8 defo ganist,§ . a les ee Moir } Tickets, Binee! plane Service,$...]]....].. Size of Casket .47.¢ . G. ather. EY oy cad Telegr., Phone, Cable or Radio Charves . 2 oc. clleesoSeclec. Manufactured by Cash Advanced Pilen® 65% 10% 69m ‘expe 4 1016 aie ©. 46 & Boe SUS © wine Out of town Undertaker’s Charges 5 oi cycle eee thes Interment at. imei oS hy ME, cds Es tg inde ews nthe cube cdl ee, oe ies. Bile TEX: -. %. 006: .S. sete te Total Footing of Bill........... $I. /. 9. Alo. ABMS 5 Fi wcll on aes alec eetda an teigne. $]}... Sh crc . Balance....... $I. 7.9.2.1. 3. Diagram of Lot or Vault bate a os ee Entered into Ledger, page... or below. Date Amount Paid Balance Date . Amount Paid . Balane