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Collection: Original Records > Death Records

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

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wo > a Total No. vii jabtek Pant re Nearly Nos. ios ooh bla dee Date. kee pie, ee ae 1974. Name of Deceased S/7t/ Gt. . Ls, “i Wve Mrs Mlarrcbuthe og OIE Ue aes ote Oo ee. eee OD Married D Single OO Widowed (1 Divorced w (What Race) Residence. . AAs Pry Ue BME aye cals v Baas dhe oh Ed vance ttl Fini gina te Li.. asf.. ¥ — OF versis 6 thas owe aie 5 of Charge to:.A%e.. Yancd ce ae ot ora he 23139 sane. AD ep Ub Selly Cau! Helos Mae WR bs Complete Funeral. .......-.0. 00000, $I.. SLO. 4 yak Casket..%.. OI a cee cece eee ll.. 29).77.. Order given by. -Xr. ATanchher Burial Vault-orBex ... WM crder.. oAZD. (or informant) * "(State Kind) ‘ How Secured... one SR ee ao meee ee. Embalming Body .............1....1... (Name of Embalmer) Occupation....... rates ilg sages Sh ahysts ak Mimi od Barbers $s chats coes ss Hair Dressing, $....]]....]... <a Gocial Security Number) . Dressing Body,$:...<.. Underwear,$...]. .. TS a Me Name of Employer.....0. 00. cecccceccececcece ee.. Suitor Dress...... Mic aaeegg’ eee feces — (State Kind an lor’ Address...... Rept OCCU OUI CE OOO Onegin Hickroniran Slippers, ge Oa 2 Hose, BE seiscite SA ole al Go iRies dee Nee ee Date of Death. Qf. 3/9 S94O,.. 129° an_. Folding Chairs, $.... Tarpaulin, $.....ff.0000.)00000, (Date) (Hour) Candelabrum, $.... Candles, $......)..../... Date of Birth.@er. d/.. / EES ts a sate di ghlire ton Door Spray, $..... Gloves, '$......0fh0 0.. chic eces La th (Bern. _. Funeral Car, $.... Ambulance, $.....]1....)... AOA. aOR (Years) 9°" * (Months) *"" °° 4 (Days) 9" ** Limousines to Cemetery... Be ii ae silo VNR. «he exes Date of Funeral. 5.0.. oi od sees ewscsecciellivecces. m. Autos to R. R. Station. ... Ee ooh Cees ; (Date) _ (Day of Week) (oar) Getting Remains from......:......... ... OPTION ais ngs a FyS enna tie gn danas aves Does dl ade Taking Remains to........ceeseeeeeHe. . ooo. Clergyman..cec.e sie csscsesesedeececescceccecccsuc. Trip to Coroner’s Inquest ..........)... 1.. ie (Address) Delivering Box to..........000.04H0 0 Ll Religion of the Deceased.... ftteteees Mttssereeees A ENT Re HIOWENTD fis on 5 castes less svn vraeathn Sori.. sn Birthplace Jt wreda. hy, \ bias Laneeemr,... Removal Charges. 3. civics fe'cocinsa esd. o: yl n / Procuring Burial Permit.. . jase ek gutta hep rer . en cars ; j te Number an istrict Ser ee ar eke ccs tea)" ". _—_Certif,Copiesof Death CertifieateNo . . Place of Death./Aevadte,. Qly. Manele tise of Chana ge: SO Pall Bearer Service, $.. Use of Chapel, $... paz all dend at Catise’of Death . . MM 7 weneee eaprorn 7 ele Gf, Le Personal OEE «52 U's Meveues tices she. te a Ly ephaee EE Bee Sash Se te) ea iWe: 602d ie 9h 6 s0)'si0'8 6 Boy (6 tun PH) ancine We wi gce Bilt adm! oie, aa livke: a eters Contributory Causes BP ee MRR Fis OPEN ES, =p © in 2) SU pES, eizertel lon Sl'0i.e! even 6) 6a ols) wie 0) Nan sete ‘walle \s 941d, 9) Wa S15 (ave! w ciien'e. «Sele 5 Beane hr rN eeu taneey et a eS Un Gross Total for Sales Tax.....00.00.. . eae 37.. OUBRT EB cs 14 cas Ooi heaiocs ss dhs ode. Certifying Physician. 202 dd. Me OG dma Mee.. Cremation Bahk WG KY Vaan ccnp SR Bey tor CoA APE yoy or Coroner Win Address. Canad. i: PE and ..line Death Noticesin... Papers ....]]....]... ¢ j / Wm, flog ene Size oto atone ate Fe ole Ga Ee (etal Pale Name of Father, . iy Was M1, GEKA ee ee Flowers, $... Palms, 3. vey Mintting + Seas [trash len UR, Wr ela His Birthplace....... 0.. ccc cece cceecsuccccecce. Rental of Tent, $..of Temporary Vault,$... . ....]... . Opening of Grave or Tomb.......... ]....... Maiden Name of Mother........00.00ccc005-5, Lining Grave, $... Lowering Device,$.. . ..) WUBr EONS, hs Gite vy oc cad He Paen ribo Me. cos Outlay for Shipping Charges.........]]....1... Motor : Clergyman,$... Singers,$..Organist,$... . .... SERA ooh ; Remains t0... 20.. ccc eee ec cee ceceeccecce, i ; Ship j ; Mead } Tickets, Binks aa, Service,$...]}....[... Size of Casket...... Gaislawenstees Lo pe Telegr., Phone, Cable or Radio Charges..... . ..../... Mannfactaled Dy.. sis: cies cosa ees Seddon Vevebehak bok. — as ga in ea Le aes aie do ut of town Undertaker’s Charges......].... ... Interment at.. eseeeeeeeeeesees eee WE aon Se re oN eee Lot No....... eee, Sales Tax i ea eT ee ete Grae Now. cx. teh Total Footing of Bill........... $l.. 3.13.7. Section Nos. c.. fc. PME A v5 'vFhnns Comme Als UEs HELE abcde a aa ey raced Balance....... Siistec sc leone fe Diagram of Lot or Vault EE Ns an ahd alt ei Entered into Ledger, page... or below. Date . Amount Paid Balance Date . Amount_Raid Balanee