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Collection: Original Records > Death Records

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

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66 RECORD OF FUNERAL Total No. soll 1 Yearly No.,..0ccecceccsceees Os ee en ae Name of Soacai Pee Hehe Sistas gage gle Neawaeie-eae oO Single 1 Widowed (0 Divorced (What Race) Residence dase fe Ee oe UD oe ae pe eaeetea rir ort aye L,, heswtd 5 SO\s 0 Address, .. SLOSRMOATHALE eccececetteneeeseeee: nea 2 ee of poe a See AEM ay eM ee, pa Fata Nove aloha era olel cisbeoe Shall kw Meath fae a ele Order given by. Concha.. ee et SIG ied .Ban-< Burieleult or Box ... 0.0 eee eee eee eee effec es Z0\.0% ., 7 3 (State Kind) 30 How Secured. «0.. Pa LUO Te. cece cece eneeeeecenee Embalming Body ....--..ss+s0++ ay PTY Ion see [ewes coat (Name of Embalmer) Occupation...... Ta « « Lawteh 9 ale suse why 465 ba os Barber, $....+++++ Hair Dressing, $....-. ]..+-.Je-.-are (Social Security Number) . Dressing Body,$....-Wnder wear, $is.'0:. Fil. . bs candles sai Name of Employer....0sssseeeeeeeeer eres ese se sens: Quit Ge OCNG .s sdiia's a dee ch sored gh ease escola cess veleqeees pray ee (State Kind and Color) Address eee mere reese eeeeees bey ere > ae te S lippers, $ Le eee Re ie ose, rl Soa gi che US ate UNITE halle Game ee eae CST ey: ae ane ee ce ee Folding Chairs, $....Tarpaulin, $..2..])..00.fecc00 ; (Date) (Hour) . Candelabrum, $.... CARIOS, Bcc C45 a ede des date on Date of Birth. ..: Mee. A a ee cere ere Door Spray, $...++COW Bs cs Soe BN Sade she en a re Dp ie et ei Mores tlene set Funeral Car, $....Ambulance, $...+--He.sseesferrees (Years) (Months) (Days) Limousines to Cemetery... Gs ss vse vis 6 SH anal Sv ae oe Date of Funeral. Alex. Z. cs 4 a ee 2. Autos to R. R. Station.... a eee ee Se ing Date) (Day of Wek) + Hour) Getting Remains from.. 1.. ccecee se ccns sy alfee sca csdae sled Services at. ‘ry. . Bo CAA MMAR Yl eee ees Palen TERASIRE AO. do's: v's v cdeee fererea dow oe p fem odin arena ale Clergyman Alar ' Peetrokek on por 7 ee Trip to Coroner’s Inquest .....eeeeee ee ees ee efor ees ; ddress) Delivering Box tO.. 6.55. ce cee e since es ee iey sree see ades Religion of the Deceased... CLM IL ELHOOMA vo vevevers Tati IU ORE TO: a drs oc occu pte eg ee de tre able gece fae ems Birthplace ... 2 pe at a” ee Removal CHArces sauiiss sissies esis ves cope aisles ems cep sier 6 6 el abies ele Wisc Burial Permit... + sitet ‘ahd Pr rc ae umber ani istrict, a Ee TER Hae or t/¢ or City or a Kapie. £ (Years) Z4 (Months _—_Certif. Copiesof Death CertificatesNo. ————. Jv sere eefeseee: Place of Death. shoe ALAA IH ls. a ee Pall Bearer Service, $. . Use of Chapel, $. ? Set eta eae, Dag arenes. ee sera: Ske ey he deo, ey Personal Service.... ew aheieatae: a dpi. Gbaterbeaherey Citable. oc. yeas bes phen oebbies oVlmace ns es dotnriew Glia sophe's cake ope a eT kan so Rege ae sen lle: sales bid oe ee TE, ain x ail Benet nibh sce ac oe nhs Ave Ss ee Gross Total for Sales Tax. .5 cee cece ere so oe Blloe o avis spe ae win COUT OR LO a iow areeelS lee Wiel hers a woe cowed esl Ms, 3 alas Pants wi Certitying Physician. (7.72, letharewad..eeeves Cremation BPC I TODD 6 ov Hos 2's . CROBTION oss a aieins ne nes nainceeacin eg Se Eelieens Fahne des Hie Address. : cen pie oy Piel en PRS .line Death Noticesin... PADOTS sods 5 cycle casos be snes LZ OF gs bu heath BR eaLe TN Ten Sait eaeinme tabla ae. Name of Father. . Mlnedbanste ee eee Flowers, $... Palms, $. Pia B's Eh nog eee . Bere (e His Birthplace. “... _ Aecregdarvad oi i eee or en ee Rental of Tent, $..of Temporary Vault,$... . ...--]..++ a 4a vy Opening of Grave asLemb.¢ 0 a a . Maiden Name of Mother. Large leacgrse. Gr aes Lining Grave, $... Lowering nae , a Oe a . ate Her Birthplace.. <@-PiGUEAEAN wee cece eeeeees Outlay for Shipping Charges. ......---00l[eeeeeeefeneee Motor : ——— Clergyman,$... Singers,$..Organist,$... J.--++--[.+++; Remains £0. ..cessecscess ac cnet greeve's ysnelielh-s : i (i : aNe } Hi) eee Ticketa, $2.. 60s. Aaron Service,$...\!.-.++. +++ Size of Casket.....:: A Sea COR et ia oe Telegr., Phone, Cable or Radio Charges..... J-++++++. e-++: Manufactured by: :ii..csace ces secceceeessonsenes .,,. Cash Advanced.... re ie Gt Interment at. Ze-rtt. MER os esseees Fe et Gl WA ag ace caletns: atehie Sars LAI Ti Lot Now ssesssseseeesee] ERS Sanam HEIN. ideas Eiavedins? tos tak af Total Footing of Bill......ceseeee eee $I.. 3.9. 5 2 Die He Dead are IE dois 54 eae lake © ak ond eae area eine dite SHIN A nierecace os oe nT an eV Balanee..-3 003 veces. i cad : Diagram of Lot or Vault Owner. ...-.eeeeeeeees Entered into Ledger, page... or below. f Date Amount Paid . Balance Date . Amo Pail . Blancs