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

RECORD OF FUNERAL Total No. 2d a2 Ree “4 Yearly Now. ssee cece et” Dee eT Name of Deceased. . 74 KAat Cz y. ttn” . 4 ed Ballad nek Veter ee ae A ( Widowed ei yf eee E Address..44 tds, UR a ay. ~ Sy ulin kV cv vn ) Divorced tthe , oh (What Race) Cix sbe Iwi mitow} na © By Erk ama th ame qed s + ibir nd es omplete ; Ale Funeral.......$]. 004 Casket. J. . Arwen. cee ee ll i Order given by..G Es. RV Benes riers Burial Vault omBex ...0.00.0. eee AS ( J How Secured.. Sheers, rad (State Kind) Embalming Body .. obese a ERAS Wl oe Occupation...isiiiae Barber, $... Hair Dressing, $... ].. Social Security Number) . Dressing Body,$... Underwear,$..] ].:. Name of Employer. ..Danie ae a Mhinle Bate giele goals ke wa SUES 2). I ee roca, . am (State Kind and Color) MOD ig 5 0% niet Paw ——_, hs GUM clamta ea PEL 0b emg Slippers:, $.... Hose, $i. . of. .s less oe. Date of Death. 4rwy.4. 1779. Folding Chairs, $.. Tarpaulin, (Date) ; (Hour) Date of Birth. . CO) 4ach. nickel Se Vista hig Valens 5b wn Sas « oe kee 70 Date of Funeral itv. &. Laverton aes llea bests ale 2 ¥ Pay of Week) Door Spray, $... Gloves, $. 6065. chee. Funeral Car, $.. Ambulance, $... . .. Sea eam 0 (itontia) "7ivy (Date) $.. .]].. . Candelabrum, $.. Candles, $... H.. oe) Limousines to Cemetery..@$...]).. . Autos to R. R. Station. Co a onBee e Getting Remains from......1.. Services at AV coger, VMS wane Paar, : onl Taking Remains to. 2. sds s cece ees ccll ey, Clergyman. . Tedd. he CExeavnshBe. iy dh Trip to Coroner’s Inquest .....1. . “ (Address) Delivering Tox to. 7566 i nese a devant Macecdn. Religion of the Degeased. . Oo scteaf etches, vette eens Deliver Flower s to...0.cecceececeeceecll 5. . Birthplace . -Uacwearwmiorrts,.,!ed at BE etna Removal Charges...0.scessceee eee. . : j : Resided in'thepante (or U.S. or Gy Place of Death. Procuring Burial Permit.ONE ‘ o Coral Akasa rnokgisonal WM mee wos 5N Wis Bs, ie Contributory Causes Aruna Aelerseateht ater. . e sd wie hp tltery yo ah ee wee eM dk AB a ar . coe ae or Coroner's. Meerrvarend, Megptek, *-. Pall Bearer Service, $.tateUsePhysician’s of Chapel,$..]].. Cause of Death ;Ke ae anepey or County) ° (Years) “< (routs) ” —Certif.Copiesof Death Certificates No.—__ ea A Certifying Physician. “¥. A ec His Address. Sraeg. \ ive dns vets Ne cd ccc cen i Gross Total for Sales Tax.:....$H.. MOURA TOT TG oo 6s oe ook wane bis vidoe Yabece 9 Name of Father.viii “<3 His Birthplace. \7.« s y . Oh Jen» ck. Maiden Name of Mother// faa. Chron, Aleoice *") Her. Birthplace.. Crag ket veloc ec MTORR Fo cts Hae . oh nips healt se Loeallhc suas --+-line Death Notices in.. Papers .. .. Sunaoe ainssaein eatsee oe eh ass e the ona. ge tale set Flowers, $.. Palms, $. ot Matting, Se coe ltredcen Rental of Tent, $. .of Temporary Vault,$.]].. Opening of Grave or Tomb..... . .. Lining Grave, $.. Lowering Device, $.. . .. Outlay for Shipping Charges.....)].. M ship”) Remain : g Bn neene : Seo oe eee Sak oe Railroa Clergydman, a $3.7 .Singer gers,$ s,$. devoOrganis oeat,$. : . . .. . . or Manufactured by. tam, Cann .&. ig eg Tt Cash Advanced...7.....}.0. Motor Diese sis ls 15! plane BS stat nell] oes oon Size of Casket?.3.2. Makin. Aelorrg 2, Semsh “+++! Telegr. , Phone, Cable or Radio Charges..].. Interment at Clr Cte. eee eeee of Sil gat al aban ea Ie IEE LOt NO. .eeeeeeeeee. Bilt, VaR cscwkl is Paelevsie eo s pes Grave No..... Total Footing of Bill.. .... $].. 7 ae ene Diagram of Lot or Vault Date Btw eee ond Uae eee owlee Sk race Section No...00.008. ROR BN Rite tons tyr <i este ia no aa $2. ad Balance.... Di lie se sine be, ee oe Seed Entered into Ledger, page.. or below. . Amount Paid Balance Date . Ani a

RECORD OF FUNERAL Total No. 2d a2 Ree “4 Yearly Now.. ssee cece et” Dee eT Name of Deceased. . 74 KAat Cz y. ttn” . 4 ed Ballad nek Veter ee ae A ( Widowed ei yf eee E Address...44 tds, UR a ay.. ~ Sy ulin kV cv vn ) Divorced tthe , oh (What Race) Cix sbe Iwi mitow} na © By Erk ama th ame qed s + ibir nd es omplete ; Ale Funeral.............$]. 004 Casket. J.. . Arwen. cee ee ll i Order given by...G Es. RV Benes riers Burial Vault omBex .....0..00.0. eee AS ( J How Secured.... Sheers, rad (State Kind) Embalming Body ... obese a ERAS Wl oe Occupation.....isiiiae Barber, $...... Hair Dressing, $..... ]... Social Security Number) . Dressing Body,$..... Underwear,$...] ]..:. Name of Employer. ...Danie ae a Mhinle Bate giele goals ke wa SUES 2). I ee roca, . am (State Kind and Color) MOD ig 5 0% niet Paw ——_, hs GUM clamta ea PEL 0b emg Slippers:, $....... Hose, $i. . of. .s less oe. Date of Death. 4rwy..4.. 1779.. Folding Chairs, $.... Tarpaulin, (Date) ; (Hour) Date of Birth. . CO) 4ach. nickel Se Vista hig Valens 5b wn Sas « oe kee 70 Date of Funeral itv. &.. Laverton aes llea bests ale 2 ¥ Pay of Week) Door Spray, $..... Gloves, $.. 6065. chee. Funeral Car, $.... Ambulance, $..... . ... Sea eam 0 (itontia) "7ivy (Date) $... ..]]... . Candelabrum, $.... Candles, $...... H... oe) Limousines to Cemetery...@$......])... . Autos to R. R. Station.. Co a onBee e Getting Remains from...........1... Services at AV coger, VMS wane Paar, : onl Taking Remains to.. 2.. sds s cece ees ccll ey, Clergyman. . Tedd. he CExeavnshBe.. iy dh Trip to Coroner’s Inquest ..........1.. . “ (Address) Delivering Tox to. 7566 i nese a devant Macecdn. Religion of the Degeased. . Oo scteaf etches, vette eens Deliver Flower s to.....0.cecceececeeceecll 5.. . Birthplace .. -Uacwearwmiorrts,.,!ed

at BE etna Removal Charges.....0..scessceee eee. . : j : Resided in'thepante (or U.S. or Gy Place of Death. Procuring Burial Permit..ONE ‘ o Coral Akasa rnokgisonal WM mee wos 5N Wis Bs, ie Contributory Causes Aruna Aelerseateht ater. . e sd wie hp tltery yo ah ee wee eM dk AB a ar . coe ae or Coroner's. Meerrvarend, Megptek, *-. Pall Bearer Service, $..tateUsePhysician’s of Chapel,$...]]... Cause of Death ;Ke ae anepey or County) ° (Years) “< (routs) ” —Certif.Copiesof Death Certificates No.—__ ea A Certifying Physician. “¥. A ec His Address. Sraeg.. \ ive dns vets Ne cd ccc cen i Gross Total for Sales Tax.:........$H... MOURA TOT TG oo 6s oe ook wane bis vidoe Yabece 9 Name of Father.viii “<3 His Birthplace. \7..« s y . Oh Jen» ck. Maiden Name of Mother// faa. Chron, Aleoice *") Her. Birthplace.... Crag ket veloc ec MTORR Fo cts Hae . oh nips healt se Loeallhc suas --+-line Death Notices in... Papers .... ... Sunaoe ainssaein eatsee oe eh ass e the ona. ge tale set Flowers, $... Palms, $. ot Matting, Se coe ltredcen Rental of Tent, $.. .of Temporary Vault,$..]]... Opening of Grave or Tomb.......... . ... Lining Grave, $... Lowering Device, $... . ... Outlay for Shipping Charges.........)]... M ship”) Remain : g Bn neene : Seo oe eee Sak oe Railroa Clergydman, a $3.7 .Singer gers,$ s,$.. devoOrganis oeat,$.. : . . ... . . or Manufactured by. tam, Cann .&. ig eg Tt Cash Advanced.....7.........}.0.. Motor Diese sis ls 15! plane BS stat nell] oes oon Size of Casket?.3.2. Makin. Aelorrg 2, Semsh “+++! Telegr. , Phone, Cable or Radio Charges....]... Interment at Clr Cte. eee eeee of Sil gat al aban ea Ie IEE LOt NO.. ..eeeeeeeeee. Bilt, VaR cscwkl is Paelevsie eo s pes Grave No......... Total Footing of Bill.... ....... $]... 7 ae ene Diagram of Lot or Vault Date Btw eee ond Uae eee owlee Sk race Section No.....00.008. ROR BN Rite tons tyr <i este ia no aa $2. ad Balance....... Di lie se sine be, ee oe Seed Entered into Ledger, page... or below. . Amount Paid Balance Date . Ani a