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Collection: Original Records > Death Records

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

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Page: of 324

Date of Death. 72707. Scenes £2 Ser ate’ our Date of Birth. Cty &3° C20 a B08 s exons Hae 7 ae a oe eee (Years) (Months) (Days) Te SS 2 SUSAESS, Cie SOR 0168 (9 S618 tae orehelerele M.e 6s ele. oes TEPC. CMTS: ©) © S0w OO) Si Mie! Os Weim & wislieuy ls: svete elm Oke atala «, «cele SS PSS: 0) 9) Bho lee Ow Del are «ee N6 ON ROLens Sr eints o06 PC” ae ee: eee ea Toe Clergyman. rm Carte. fhe. Fe icp Religion of the Birthplace . Le Deceased ' , Resided in the State. Spe SiO) © 6:08 © b)e © 0 6S Whe 6010 0-0: 6 05 Her Birthplace Argtor'} Remains to..07Tireccseccccccccececcccecs. Size of Casket™ 2/4 LL2-1. ce een eS OS) Cae SS © 9) 0! 8! RIS aD iki 0 Role a 4: wwe: atisre: bilalteles) whe se eee eens. +Gewreseese eee eee seas m. Autos to R. R. Station, .. @$ “-Taking Remains to Embalming Body O20! 8.06 0 W566 0 ee 0 ee #8 ie erets @ 6Rs (Name of Embalmer) Barber, $... Hair Dressing, $.. Dressing Body,$... Underwear,$.. Suit or Dress. 0.0.0. ccc cee cece ceuscees cH, (State Kind and Color) Slippers, $.... SOMOS 2h seh ees ba Folding Chairs, $.. Tarpaulin, $... Candelabrum, $.. Candles, $ Door Spray, $... Gloves, $...1]. Funeral Car, $.. Ambulance, $... Limousines to Cemetery .. @ $ Getting Remains from 26 SOO 8 SC dis ws .610 ele pe 6 6 Sw 4 Trip to Coroner’s Inquest Delivering Box to eee e ese e eee ec ese ses 19 OC 46 COs oH OH 06a 8 ee 6 6 eS 8 Sees ere eee sernsee J : (State Number and District) —Certif.Copiesof Death CertificatesNo.____ . (State Physician's or Coroner's ) Pall Bearer Service, $. Use of Chapel, $ Personal Service we SS ATS SESS TERS 6 d\.5 S-S ditrwleite e &) oe. eXs.6 PEs cieiterin aca’ ©, $7219) #i.0k dw biprie Saale Ne oie 406! a a 8 wily ie pars Shermah © > SLSheseL selma AS ele Melee 6he 6 eal a isse aie wane. Wrwue een 2 O50: 6 0 6 6:8 6.6) 8 we 016 0066 ee 6 sete cweresisleosnsee ee see we eleweee 2 ON a Ciel s OS) OS MES oe) 4 @ allie: + 46.0 © ee fe ae ee oe es ee ae ee Oe ee bee . Ce ee Oe ee oe ee i Gross Total for Sales Tax..... . ae (. g a Onley: 16? Lab. si. eee ctw teswesbeccce. ad. [5 . 00 . CHOMBHOD Ho cote eee ees ebeddseeicewe reali cee td. cc, .line Death Noticesin.. ps Weems say Mee te Susllalavetes 6's 5576 seed Gee cee eerie fees Bloc Flowers, $.. Palms, $. oe Matting, $..H../.. Rental of Tent, $.of Temporary Vault, $ . Opening of Grave or Tomb Lining Grave, $.. Lowering Device, $ Outlay for Shipping Charges. .... Clergyman, $/.7?, .Singers,$44Organist,$._. Railroad * Aero. on Mott} Tickets, rela ge plane Service,$.. Telegr., Phone, Cable or Radio Charges Cash Advanced PEVER AS. CE SAH 0 Vid: 018 "9 “aye e eleca bh @ 6.0 6 ellen ole ee eer este coves PS, Pie Sone ORS BS Se Wiss Sah ele @ 5 © b Dene 4's 6 6 Ce . CC es fr ee oe es Out of town Undertaker’s Charges...l. ..1.. interment tl. Aegeeresven { otc Oot of om Unde spn Mok! ate Lot No. 0. eee, Sales Tax Re onereed Ficezlenes seers Da Me i Sn, aes Grave No..... Total Footing of Bill...... $].A401.8.2. F DO 6 6 i A) aN hs 0 ea Se aencin ny abled dR ye ct. . Section No.... ‘ baa Caer sl = Balance.... SH sacle enh Diagram of Lot or Vault NE 6s aah ba heed Entered into Ledger, page.. or below. Date Amount Paid Balance Date Amount Paid Balance

Date of Death. 72707.. Scenes £2 Ser ate’ our Date of Birth. Cty &3° C20 a B08 s exons Hae 7 ae a oe eee (Years) (Months) (Days) Te SS 2 SUSAESS, Cie SOR 0168 (9 S618 tae orehelerele M.e 6s ele. oes TEPC. CMTS: ©) © S0w OO) Si Mie! Os Weim & wislieuy ls: svete elm Oke atala «, «cele SS PSS: 0) 9) Bho lee Ow Del are «ee N6 ON ROLens Sr eints o06 PC” ae ee: eee ea Toe Clergyman. rm Carte. fhe. Fe icp Religion of the Birthplace .. Le Deceased ' , Resided in the State.. Spe SiO) © 6:08 © b)e © 0 6S Whe 6010 0-0: 6 05 Her Birthplace Argtor'} Remains to....07Tireccseccccccccececcccecs. Size of Casket™ 2/4 LL2-1. ce een eS OS) Cae SS © 9) 0! 8! RIS aD iki 0 Role a 4: wwe: atisre: bilalteles) whe se eee eens. +Gewreseese eee eee seas m. Autos to R. R. Station, ... @$ “-Taking Remains to Embalming Body O20! 8.06 0 W566 0 ee 0 ee #8 ie erets @ 6Rs (Name of Embalmer) Barber, $...... Hair Dressing, $.... Dressing Body,$..... Underwear,$... Suit or Dress.. 0.0.0.. ccc cee cece ceuscees cH, (State Kind and Color) Slippers, $....... SOMOS 2h seh ees ba Folding Chairs, $.... Tarpaulin, $..... Candelabrum, $.... Candles, $ Door Spray, $..... Gloves, $......1]. Funeral Car, $.... Ambulance, $..... Limousines to Cemetery ... @ $ Getting Remains from 26 SOO 8 SC dis ws .610 ele pe 6 6 Sw 4 Trip to Coroner’s Inquest Delivering Box to eee e ese e eee ec ese ses 19 OC 46 COs oH OH 06a 8 ee 6 6 eS 8 Sees ere eee sernsee J : (State Number and District) —Certif.Copiesof Death CertificatesNo.____ . (State Physician's or Coroner's ) Pall Bearer Service, $.. Use of Chapel, $ Personal Service we SS ATS SESS TERS 6 d\.5 S-S ditrwleite e &) oe. eXs.6 PEs cieiterin aca’ ©, $7219) #i.0k dw biprie Saale Ne oie 406! a a 8 wily ie pars Shermah © > SLSheseL selma AS ele Melee 6he 6 eal a isse aie wane. Wrwue een 2 O50: 6 0 6 6:8 6.6) 8 we 016 0066 ee 6 sete cweresisleosnsee ee see we eleweee 2 ON a Ciel s OS) OS MES oe) 4 @ allie: + 46.0 © ee fe ae ee oe es ee ae ee Oe ee bee . Ce ee Oe ee oe ee i Gross Total for Sales Tax.......... . ae (. g a Onley: 16? Lab. si.. eee ctw teswesbeccce. ad.. [5 . 00 . CHOMBHOD Ho cote eee ees ebeddseeicewe reali cee td. cc, ..line Death Noticesin... ps Weems say Mee te Susllalavetes 6's 5576 seed Gee cee eerie fees Bloc Flowers, $... Palms, $. oe Matting, $...H..../... Rental of Tent, $..of Temporary Vault, $ .. Opening of Grave or Tomb Lining Grave, $... Lowering Device, $ Outlay for Shipping Charges. ........ Clergyman, $/.7?, .Singers,$44Organist,$.._. Railroad * Aero. on Mott} Tickets, rela ge plane Service,$... Telegr., Phone, Cable or Radio Charges Cash Advanced PEVER AS. CE SAH 0 Vid: 018 "9 “aye e eleca bh @ 6.0 6 ellen ole ee eer este coves PS, Pie Sone ORS BS Se Wiss Sah ele @ 5 © b Dene 4's 6 6 Ce . CC es fr ee oe es Out of town Undertaker’s Charges......l. ....1... interment tl. Aegeeresven { otc Oot of om Unde spn Mok! ate Lot No.. 0.. eee, Sales Tax Re onereed Ficezlenes seers Da Me i Sn, aes Grave No......... Total Footing of Bill........... $].A401.8.2. F DO 6 6 i A) aN hs 0 ea Se aencin ny abled dR ye ct. . Section No........ ‘ baa Caer sl = Balance....... SH sacle enh Diagram of Lot or Vault NE 6s aah ba heed Entered into Ledger, page... or below. Date Amount Paid Balance Date Amount Paid Balance

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

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

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