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Collection: Original Records > Death Records

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

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ry or ( ts RECORD OF FUN ERAL./ Total No..29....050. Yearly Now.. 2.. e.eecese sees Ot a a ae 19.42 Name of Deceased. .</ Rentesh. Sherrad. Cora Sette ce ate FT imonsaieilince aint + a. oy ¢ Fe xinterg viaseSN «oko daw ed dain ; O) Married OO Single IX] Widowed 0 Divorced (What Race) Residence. AKe. . A 1, Mend. Saad. Cates, Fy ee eB id capar eee i tralia al epics Mme tw Fuiedge Bey een weit . Charge to: ha.. Claneover.. Combs re rn 3 ; Teen” 27 Complete Funeral... ; HE dade Bel eae $9.9 1 IFS. Address, 1747," (..A&ey—e. 2. . Rr ee ( Casket... Yo. IIIAR eee ll, AIO . Go. Order given by. Mtn 8 MOE Ee CMW eRe nie 6 6 viele b> Pitial Vout Oe BOK se. tases vseelvectate ree. cee, (or informant) . (State Kind) How Secured.. Pras, sah wis cugne ollk < paieturhs.cwcahine Embalming Body ... POOn Ee ee ene Eee Pe Occupation..... wend are oe rs ike A Lae Barber, $...... Hair Dressing, $....]}....)... ion "Social Security Numbety . Drogsing Body, $..... Underwear, $...//..../... Name of Employer.. . 77.7. Coen ooo BOF TOME Boerne ucrclres cages tt Vans «oscteieahoetes es : (State Kind and Color) BOOS, so Us's vss bgees new vaste Fade ce hc el Ue Slippers, $....... eS ee (een! . Ce Date of Death. fe.,.227... 4040... 834 (. Folding Chairs, $.... Tarpaulin, $.... 0.. 6.0. -fereene a (Date) (Hour) Candelabrum, $.... BOR Biss 5 hg 5 v'e eco Mhy mss’ wdfn py Date of Birth..Ce/./3."../, Fs Mantis sade Door Spray, $..... GIOVOR, Bick dee ae dled. sos cleas eo. Age. hs o0 GM, pba, a a Funeral Car, $.... Ambulance, $.....f 0.0.. Limousines to Cemetery.. . BB es heart iene hbo cMt allen 1.. Syacthey. os 2. /-.m. Autos to R. R. Station. ... EEE ean Rippon & [ears bilea at Wee Getting Remains from...........].... ... “MA KAN . *. Taking Remains to......cecceccsecessl. 5. deco. Trip to Coroner’s Inquest ..........11....1... aa Delivering Box to........00c0eeeeee alle.. Religion of the Deceased... 2.. cece ces eeNeeceeccue. Deliver Flowers to.. .c.cccccsevesssoveesecdt. otc c., Birthplace . .<4 a Lay Removal Charges A A ied Re t5'4 aig is Ss dee, a5 galls win adn teetea sy ; 3 20 _ . Procuring Burial Permit. . sis Muchite nad leadeg’ Werte Resided in the State. . it. Se os Gonaasy cede —Certif.Copiesof Death CartificatesNo——_ iece read ie a ysician’s or oroner’s Place of Death. Lite, ARLY é Canad ane, . Pall Bearer Service, $.. Use of Chapel,$... . .... ... Cale of Death: Ceokemaansecy, halbrvresshe . Personal peeves: Soules Iga aige. SERN . Serr: Cee Contributory Causes. . Sree oe Winn abcd Mamius ccs cr gencc eee eet e Ke parma 9 svn’ Plas wea Ree Y MEST atic ecieshole Lach thicn ate dremel siag! peeked leon Sea eee Ene v2 ie ha Be x . Outlay for Lot. Jude.. 37109.. Certifying Physician. Gram ‘ F : ? Sa eee, as Crexiiation Rae € ake Soe iden BWACEIN aways 19 LE end a9 ates alte oak ad ahoaet art His Address. /2 7. -44.Chalwan. . al. fo. Cathey, _.. +++ +line Death Notices in... PROG 3. ee, whine soos le 5 RSS 5 Mie « Habla Sons» es a beslnicle AF a 5 49 5 treble ih ev Vn ooh Name of Father.. CAL, & Ag Deicke Oh un aaavek ove onal Flowers, $... Pa s ee” Matting, epee ee Ae His Birthplace..... Crvgbec’ wi eestebaISM «ale Rental of Tent, $..of Temporary Vault,$... . .... ... ‘ Opening of Grave or Tomb.............)... Maiden Name of Mother Lining Grave, $... Lowering Device, $...]]...:. ... Her Birthplace...... ¢7%@4lend Outlay for Shipping Charges.........]]... 5 At: Pea Motes: er Clergyman,$¥4-4« .Singers,$..Organist,$... . ... 49.. wots }R w7) ? i 2. i iP ‘abe ‘ (a 2 i Ralioad Vr sbote $. = : B plone iatuse AS saan oe ELE Size of Casketa.6. /. 21.5 Nan Geracaes ts Telegr., Phone, Cable or Radio Charges..... ].... ... Manufactured by. : AS oo C cic OD ah Gd, ea eS Cash Advanced.... why eeet ese tesecereveelessseeslessens Interment at 2 Teele ees ea eee ee ee ae Lot Now sss eessessseese-f . Re eee ieee Siar 8 Grave No..... =e Total Footing of Bill........... $I. .3. 2.7, 3s, Se No ec FIIs ice lah 4 vssig graly Pe Pages cee’, a Bis a7 evs Sates c pomersn ne Balance....... $ Ray er Diagram of Lot or Vault WOE Foie pe ess eth Entered into Ledger, page... or below. Date Amount Paid Balance Date Amount Paid Balance n . eed