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Collection: Original Records > Death Records

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

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(or informant) (Ss Kind) How Secured.:.. Phrne Pes eevee ewe doas 6 xbiFurka 2's Embalming Body ... Ga es Seimceay ti eg a 9 deh cane am Occupation..... Mee Oe To Barber, $...... Hair Dressing, $....]....)..., (Social Security Number) . Dressing Body, $..... Underwear,$...]]..../... Name of Employer.... ore Nrd dagle aibde sist Bs dae SATE Ge os. Ba Suit or Daege.. 2.. eee ce eecee ese eeee 19\.06 (State Kind and Color) i Address see ere sees “Se eeee 4 COCO Cee ee rer erereseeesesees Slippers, $ ees tn ete Hose, $ BB winslelh iets. oses oe olllote are eo eee Date of Death. /loa.7../.2740...330.am_. Folding Chairs bee Tarpaulin, $.... 6.000000.. (Date) (Hour) Candelabrum, $.... Candles, $......1....1.0.. Date of Birth. Mo larh, Ad i: lh me Door Spray, $..... Glover $i. 66a. Ao ells ods Age Fa rd 7 28 Funeral Car, $.... Ambulance, $.....11....]... al (Years) Months) ©" "" ** (Days) Limousines to Cemetery.. . MOM sis 0 x 0k fee es oe ce Be Date of Funeral 74* rie Hascarday are AI sale m. Autos to R. R. Station. ... Eas . e eae (eae (Date) Cer OF RD: 8 ier Getting Remains from...........1....)... Services at “V9; UL eoamron Martie. MOOR ise Taking Remains to.............]....)... Clergyman ¥ 0x lbh, LG? eae Trip to Coroner’s Inquest ..........]....]... we ( (Atttress) Delivering Box to.}.......ccceeeeeeell. od.. Religion of the Deceased.. 77. tAwxet Deliver Flowers t0.....0.ccceeeeeeeeeel oo.. Birthplace . . Al tdrntthe:.! Crakenar.:. ae Removal Charges R smrees OOo On nt aa . enn Reena Procuring Burial Permit...........]... . .. Resided in the [email protected]. Yt.. ae (Siate Nomber ‘and Disiriety By (or U. S. or City or County) (Years) (Months) ——Certif. Copiesof Death CertificatesNo. areas (bila agen Place of Death. -“2a46..Vz car, sayy Go Pall Bearer Service, $.. Use of Chapel, $§... ... . .. Cause of Death Were ce Sak oie a ee P een iiigonn , SERGE ao ag (heen) Genre Contributory Causes. elo farsi rrecy # RST na eke ite seh She EG aES 6a 8, Sic) MURS Bal a San Sai Ais fal exe eae Sree tee Uae Le eee eee Pate 9 ois Blcsgtccas ae ihe coe Gross Total for Sales Tax:.........$ pe eee VE tak ‘EM ala ORNS POT Ors anil IE tas. os ou ca Certifying P hysician Lace: ° PONG ot Ba al ks ation cd i ET. HE ea His Address. :el2a44..Vathy ..line Death Noticesin... PONG Ss sere NE. gd edhe cee Name of Fatien, ise. ear" Flowers, $/ oe*\Palms, Matting, : Ce Fe A His Birthplace.. .. Crvp kon ds Rental of Tent,$..of Temporary Vault,$..]. ....]... : Opening of Grave or Tomb.........]....)..1, Maiden Name of Mother, f47x . Le a i PER is, Lining Grave, $... Lowering Device, $... . .... ... Her Birthplace....% [nator Outlay for Shipping Charges. ......../.. hag “OF Gi 1S i 4 'Olao weir} Remains to... ick ae eum oh ait “Singers, $74.40 rganist, $a. AO) 2 2.. ai 6 x 3s Ke é Vf or Motor f Lickets, $.... plane Service,$...]/..../... ize of Casket. 7.2. ¥. a4 Soe Giecand Mewiee 2 bots tes Telegr., Phone, Cable or Radio Charges....]]....]... Manufactured by on, aX. ¢€ J fa is 0.4 a kelereteana cles clolstteee Cash Advanced.... SOS tat © 7 tress, 0:9 6 6, self loca ssl . S econ 0 6 Interment st-0f0.0.. esseerseere ie kt ge Lot NO. ossseeseeseseeef Sy Ma Aer Pale NT i Grave No.....0.... Total Footing of Bill........... $72 3.1.7. 2. Section Nos.. 0s <cs.4. 22 MODE st -siacdote Serwas ¢ dibs ancy bakacdev ccs bl eae eet “. eet Balance....... $]]....[..00. Diagram of Lot or Vault OHNE ste shee ois Chet axle Entered into Ledger, page... or below. Date Amount Paid Balance Date Amount Paid Fatale . Me AL my . . = ——<—_"FS