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Collection: Original Records > Death Records

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

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62 Contributory Causes Mayehybarcored —— 7 Ain di its ie wong ane n ey « oe Gross Total for Sales Tax RECORD OF FUNERAL Teese Sere seeccevece (Name of Embalmer) cin a ae a ao a ee . Se Barber, $...... Hair Dressing, $.... d (Social Security Number) . Dressing Body, $..... Underwear,$... Name of Employer.... Po aa yasraqgeath Meee Mee Bait oF EWN ie. versie cccte. —— , (State Kind and Color) RO iy shy ving Ortere Wile boaidue coe. Slippers, $....... Hose, $....... Date of Death. Zay..2.9" /776.. 980 >. Folding Chairs, $..., Tarpaulin, $..... , (Date) (Hour) . Candelabrum, $.... Candles, $...... . ’° Date of Birth. . At ony Soe Sena Fe 2 Og a oe + pal Door Spray, $..... Gloves, $...... : Age Riv, g AZ _,. Funeral Car, $.... Ambulance, $..... Fie ir iets (Years) °°" ** (Months) """"" Ways) °°" * Limousines to Cemetery... CC oe eae Date of Funeral. 7s 2 6. . ohervasloy chk 40,.39,.A,. Autos to R.R. Station. ... @$... pee (Date) (Day of Wee Cour) Getting Remains from........... Services at Aicegrer MANA ANTT, Mereety , Sn, ‘~. Taking Remains to............. Clergyman: : Tar 7 MID. J ALG Pet Pee ye Trip to Coroner’s Inquest .......0.. (Address) Delivering Box to........00000... Religion of the Deceased... ne Aaa eS kal Deliver Flowers to.......00000500... Rirthplate : ELL, ereds. Ca. Sees. Shae Removal Charges.. . Wen thas 044 Sana ees : iat Procuring Burial Permit. . Ry eee ae Resided in the Ra ee oA " “Greans’ * (tontiy) “. __Certif. Copiesof Death CertifieatesNo,——"_ Place of Death/unera, Neryrikeh,. raerde., Sv: .. Pall Bearer Service, ¢, *" Use of Chapel $.. Catia 7! Cpecson. he. Personal Service Seine CRUE IENE A ©6497 ece gy aug GG) 374)". Se Pe o Ce BAP SS SIS ee ore Beale) wih epee ipued rate: Si Bie e e: ye (el'xiech as»! Sy 0.) ce © 6 00 '0 8 Oeics e & 010 Se ee ee ele sre aece a Ch ce ery es Oe ee ay ee Oc a ed ee ee ae ee or ers ee oe ee ee oe ed ee ee ay BRGRI AW. vie cheaceies ee a Gee en ne a ee ars we BH ATL, DM IO TO Fre ermneand econ vs ovcicdloguety dest. Certifying Physician Mal, LU). Unto reteeee Cremation ata s ss ain Sethe eee Eas! 5 5 Hon Ch qiahs vb Uk His Address. : Sinss,.U Ley.. Cd. ..-line Death Notices in..,. Papers .... }..../... ieee ee ey sles ee eee . Bee a Jer eeee Name of Father sees enne eA ORLY ANS) S Riare R O70 Wo\ owt wlslls Ane: eiplel ois Flowers, $2 4 ‘Palms, $ . as Matting, $ sah own foo: ¥. / 2: His Birthplace.... Und Oncredrey AOR Arete co ede Rental of Tent, $.. .of Temporary Vault,$..]. .../]... eens = ) f Opening of Grave or Tomb......... 0.000 P0077 Maiden Name of Mother.C/ ei 4 oes) Lining Grave, $... Lowering Device, $... . ....]... Her Birthplace.....( Mone DONO Nye sb tale Outlay for Shipping CHATQOB oe okies vie oie oe 4 0 Bese Motor z Clergyman, $4.4? .Singers,$. , -Organist,$... . .. /O9., Ship } eae ee: : He nse PY oc poe aS rey ne Tickets, $.... a Service,$...]}....[... Size of Casket 2 /,. A aap Rhoranthace ee Telegr., Phone, Cable or Radio Charges..... ]..../... Manufactured by. i ....cc0ceevesssvseecceecc cs Cash Advanced.... GSS 4 Als 610s aglaw GH on neeedee Pe sa Interment at. ./Y A Ea AG «<3 go, Oe Sent hibition ress . eres (eee LOt NO.. sss esveceseedeenl PMA Pome, ale eels ee hoe ae Grave No......... Total Footing of Bill........... a ee a . LOEB see eeeesecesecescadecseceeteecese Bf. oc.. ee Section No........ yd $ . es I an enrpae Balance es awe 4 os eae le $ OR ee) ae "Diagram of Lot or Vault a SRT eee Entered into Ledger, page... or below. Date “. Amount Paid Balance Date Amount Paid Balance SS