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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
I DI A ig eC a i cence pee ie se 8 ae O16 Oe tis we woh 040 06 4 4 ele 4) ohe © ei eipe see 4
How Secured... Chm. . peepee ny Pen Gree Embalming Body ... 6-0. ++s+05 ai eS cei tate ao
= row
(Name of Embalmer)
Occupation......0ee0ee5 ‘a wanton oh Meet gx CATA Barber, $.....+++ Hair Dressing, $...-.. [-.++-++[.++++
ime (Social Security Number) . Dressing Body,$.,..-. Underwear,$...]]..--,-[.-.5Name of Employer.....:ceeeeeeeee cree eee ecereees Gnitex Dress.. fac. om? ee I Z\0.4
——iz iis (State Kind and oo. ee ar
A GTORS accevereGis ooulecsqes ew ae He Fe ope Cele Meare Slaw Miyeie.e SZ Slippers, $....e005ee it ee; Senay eee
ie of heat ee ere ee 3 (or. . Folding Chairs, $.... Tarpaulin, $. ...+s. eewesdefeeee
(Date) on (Hour) . Candelabrum, $.... Candles, Sitmiwasccetllems eye ens
Date of Birth. 4eq..&2%.... Oa. Mites orn oy Door Spray, $....+Gloves! $0 ffi ks at eas vss lean 5:
Age oS 3 va Funeral Car, $.... Ambulance, $...---. ].--06-[eeee:
sie i la (Years) 9” (Months) 7 (Days) Limousines to Cemetery... MBS. os nas ost a iw Foie ks Peay
Date of Funeraled¥. A Pero: 4. 2. _A.m. Autos to R.R. Station.... 7 a Anne i, Aeravaie 9 Uae
pee pears “ae Getting Remains from.....--+-+seeee eee eee ees Silk
Services at. Lf.. LAMA. GMO eee Taking Remains to. ....0.eeeeeeeee cece e eden seers en.
Claraymnan. aut. OS Trip to Coroner’s Inquest ....+++eseee reefer cee: Tie
; “G1 Address) Delivering Box t0.... cece eee eee e ener eee eeees ae
Religion of the Deceased .adttet weet e eee eeees Deliver Flowers to.. .cccveeceeeeceee cesses sees. mx
Birthplace ... EE, RR Le Oe re Removal Charges...-+++s++seererrerre sre ciereres tees
Procuring Burial Permit......-..0-5+es\leeeeeee apt
Vonlded int tay Binte. 90 77 es . ee eh ade ee (State Number ‘and District
(or U.S. oe or Co (Years) " (Months) '. —_Certif.Copiesof Death CertificatesNo Eta . . . ag Oe ee
ta ician’s or Coroner's
Place of Death. Alectee Pe AES oo in ea Ec Pall Bearer Service, $.. Use of Chapel, $... . .... is ad
Cause of Death. Camenr. CU I¢ are Aeetcenn, .,. Personal Service. ...e0seeeeseeeeeereneedferess A Pree
Contributory Causes.....cecsceeccssetesceenscscaafessseesrssecereserecrsaccereesecces esse 668 Waele =r
Lot ya a catinhedlbons es oda ol — . Gross Total for Sales Tax....60eeceeee e842!
a Cake PTE. ae Sas ce coe A een ew ee a NN eg ele ta,
Certifying Physician. Vi. ‘ LS. [eaten , A xé seat ws Cancion A os cy ne PN alge idee nee Ose cle Wie
His Address.. A hie. 2 Ve ohh Ai ee, Ae ..line Death Noticesin... Papers ose cs wellaa see rom
Name of Father...Mawichsectevessetsteecee+o] lower, $0.5: Giga dewey PL
AEE Flowers, $... Palms, $... Matting, $... . ..---ae
His Birthplace.:... Clhrsattintt NOTRE ac whine eco absretie Boal Rental of Tent, $..of Temporary Vault,$... . .----ae
J ¢, Opening of Grave or Tomb......++-e+sl[eeerees Bt eae
Maiden Name of Mother.. Marde Pie ee ee ee Lining Grave, $... Lowering Device, $... . .--+++:. -+>
Her Birthplace..... Chelios STeictnr tes nipisiel tieiatelole Qutlay for Shipping Charges. .....----+0-l[eseeee> _
Motor . : Ne Clergyman,$... Singers,$..Organist,$...l. ..+-++wee
: Remains COs 2 <uts wie ees 6 oierthargse Ws Se a wlan cin oe nese ; ; 5 ee
oe LE? CL / Hatvoe! Tickets, $. 00). ee Service,$... ].--++: M:
Size of Casket’.*'. /. < ps ih Wed ei i i: lla Telegr., Phone, Cable or Radio Charges..... . --++-+ve
Manufactured by. BOs ie ee ere ann Ang amie pee ere © a
ut of town Undertaker’s Charges. .....--lJeseee: Jaane
Interment at.. AAA Amt or oe eee (Eo 0 Sails i SPE yee Dee al be
Lot Nov. sseeeessssesf Sie Sa Cian eames . ee
‘ Grave No.... nlper Fotal Wooting of Bill.. sco. . sees eae sea ne gil ee. ©. 7.1.7
Ichi: Sete le mis sips sacl cesklecy eeseelane (PIGCAW <u alpae) aap . . ends / 3, J.
Section NOt: costs oases: ; Zi
= ena Balance.....-++$F. 3. .4.17%
Diagram of Lot or Vault Owner. ..-.seeeeeeeenee Entered into Ledger, page... or below. ’
Date . Amount Paid Balance 4 Balan