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Collection: Original Records > Death Records

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

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ATT TE Total No. 7.8. ss due ens us Yearly Now....0.ceeeeeeeee pate. AL, esd Licccesee 1 19%S., Name of Deceased. Cont re Soe Gen UE en ey Sere be Per, Pere rer re er rey, Atbeata ws Lees (What Race) Residence A194. Tomiie 5 leas tere Seaegl eel cu aaa Sy ne ate peer ey 8 niles fe Mee boe ne sist _iLes nee RP A aie of Charge to: ied 7 hadron. tebbim ster.. CHL W. . . COMM ESA icici °° 3.2.26.) %. tate COVES esses ececees 129) 5%. Order given by.. Z/0UG>. ASAP eee eee eee ee -. Burial Vault or Box ... 0. essen eee ee ee ee eel eee e epee ees (State Kind) How Secured. 2500 A COO cece sscececevcceccees . Bmbalming Body ..-.---. soe cserscressiecserscte cscs ' (Name of Embalmer) Occupation.... OLRM acs hace MO ss Barber, $....+++++ Hair Dressing, $..... ].--.+[.-+++. (Social Security Number) . Dressing Body,$.....Underwear, $.... )...-[eeee Name of Employer... 00s. -++sseeeeeereessrsereee es: Suit or Dress......--oes gd Oh ow es 9.6 oles ogy 8 Address ...++eeeeeees sow e eee eeeeeeeeeeeerececeerees Slippers, $...... Tae, 3. a, sn adleng Waaadlaniate sos-<. itena Dato of Death: (oer 5. 8 2".724@.; 350 (am, ,. Folding Chairs, $.... Tarpaulin, $....-. J-.--.feeee: (Date) (Hour) . Candelabrum, $.... Candles, $522.6. 0calees edhe aes Pate of Birth. cece c.clee cc ce sisloelsts + calra lands gine eucie = Door Spray, $..-.+-Ne he: ee ey [Pe arses ee” Age Funeral Car, $.... Ambulance, Siu. 65. selon cee falee oe Ph. (Years) Ghfonthsy 7” oy) Limousines to Cemetery... GB oe eke es veils edna Date of Funeral. e/, 2.1. . taeday os oe 2.0°.m. Autos to R.R. Station... oS ee EE ; (Date) (Day ot W (Bout) a Getting Remains from.....seeeeeeeeee elec seen eferees Services at: 1.79 RuX .Y. say. (Nerkerery, . 2 + Taking Remains t0....0eeeeees cece eee ele tence a[esees Clergyman: : Moa : jt Bae, sil ee etn 2 Trip to Coroner’s Inquest ....++eee reese elec eee efor ees VA; Dr eS Delivering Box to.. .. ccc cece eect eee e reer er ee ee afenees Religion of ec ALEK Talivar PiOWaee LO velo ee od ccauie’e do0 « ecsgan tes oo.cflve ous she oien Ricthnlace xt4 grave Yoathu..! Cag Ta, ee Romoval Chartea seid <6 Ghee cas cen cone seeder sds apie wes : * sip k . Procuring Burial Permit. sate Sela side a in ae Is Resided in the State.. 95+ 3.8 A «cans fateatin) . ——Certif. Copiesof Death CertificatesNo.____....]-.+ . a 2 ; (State Physician’s or Coroner's ) Place of Death. vorwmty AY. og RAler, § . vg betes Pall Bearer Service, $.. Use of Chapel, $...]].... ---Cause of Death: FG PSP ence ne re Parental ECG ej iden nau om pad oe sees ws nals es Contributory Causes. Ceudks, Gh chalitrave Oe eee risa ae St one igeir UC RCa STS Cora cape J . Smsuces sO fat oe EID. roel AP are) to Oot Gross Total for Sales Tax...00000ccccc0e008fe AIRE. Outlay for Lots cease Petes. oo Moe foie class evel sv 0 oe Galette Certifying Physician 41 alka. Wan it pe ecanenee os Cremation Poe Sema alte 5 oe Mkiale dey bdo Haw POR ees vcd His Address; :, Cuvda. tay Cg ee ..line Death Notices in... Paper i). 5 als re 3 tines ape Oy Pa ee CM Peer soe eS inte Tpeeemtag tat eee keer te dinsse ss oberes Name of Pathan cc. oc cdc cnc cece Ge cee poeta wn eite shee a Flowers, $... er § 7" Pe) Matting, Re wpe oe His Birthplace...... Or cake & xe 3c asl MG Sher Steg Rental of Tent, $..of Temporary Vault,$... . ..-.-. --+. . Opening of Grave or Tomb......0.-00-efeeee eee fe ee Maiden Name of soci oe “fe pel lf A a Lining Grave, $... Lowering Device, $... }..----. .-+. Her Birthplace. ...<. Yue.. i: a a A Outlay for Shipping Charges. ...... eee eller rere eters . rat > Cler: an; G+ «« Singers,$..0 TS Bu geal sities oo }orele wictor' Remains to. Ae ea aero Raloat Le $ eens Fm led : : #2 ~ at! pa Moa } Tickets, eee plane Service,$... }-++++ ++]. Size of Casket.. fre™. . ee: ee Lt a eee Telegr., Phone, Cable or Radio Charges..... )--++++-[e-+ Manufactured by. : AMoe. c i i ES: ee be Cash Advanced Out of town Undertaker’s Charges a 60 6 e wre bn © uk we om @ Rlere 1@ ©. 5-6 0 O00 0 6) S18 066 6 0:0 0.6 6.4 0 eet ee ee a . id seer Lot No.... ee wee in ie WEE noe ode cron node has dl<ce oe ee ee re al Total Footing of Bill....s.sseeeeeeees g. . . /-2.¢. .23 VUGBS co lac aso dacralersrseare sil spe cidie’s slew pewis ereleisne®. . euie = ayete Section Nou. «05. is.6 ease $ —_. — ee er. Balances .6.64 26s ew eos $ OR eS (Ono Diagram of Lot or Vault Owner. ....eseeeeeeeee Entered into Ledger, page... or below. Date Amount Paid Balance Date . Amount Paid Balane iv eer ad : (hone