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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL Total No. 2%. ..esc0ee5-. Yearly Nowe.. 0.0.. ssceeeee pe te, 2h 194 Name of Deceased.. /Aorrrad . Jolann 4 Rica en ew tila Menistagers ob ‘sag lnrratarersears.@ savas sverersicis ice vineenetliv wile cuca WA C Married OD Single D0 Widowed OO Divorced * (What Race) Residence. .. “4%”. Aasmacacia Ear eas olin ude as Set FSP: ere ee , aac QR a ciete MOS ol eCe dialed of Charge to:.. Alalid 1. & ETON pan evicted tend tes Jo kL sine «wa oe ne Mthe o eaee Wee Address.. //23. Sucker. 417 ban dame, pige = Benepe ; RM, Fe eas, or os eae «oe lias a 60s wie asw Zarate Mie sem ae Order given by... ae tte tee eee e eee ee eens Burial Vault-or Box ......0.c0ecee eee.. AONB. (or informant) (State Kind) How Secured.... Lberont. et ermcde alan ary es ea Re 0) Embalming Body ..... PU DUE atm Sone 5 (Name of Emi Deemed: «Ine, FT iy acre <elatee a= x Barber, $...... Hair Dressing, $....]]....].. (Social Security Number) . Dressing Body, $..... Underwear,$...l}..../.. Name of Employer.... Oral © auatelGhn sud rai oie fepbes ts, Uses ease fe Suit or Dress. . 0.00.0.. ceccccceecseeeeeec Aww, (State Kind and Color) cs I ab gah Sia wUlals) 6:0 eel wi erwinuee ars Slippers, a . Hose, $ Se en ay deen . me a Date of Death. A fc.. ie ee he <a LO20. f°» . Folding Chairs, . weg *. Tarpaulin, $..... )..../.. (Date) (Hour) . Candelabrum, $. . "y2Candles, A ORR . ee aeae . Date of Birth. ag. AY. SS, my paer nates eugeds she x aes Door Spray, $..... Gloves, $. 46.05 cease vss daele oe Age. J3 nat 4 Funeral Car, $.... Ambulance, $...../1.... pee wee a a Limousines to Cemetery...@$......l]....[.. Date of ee 28. ey 130 hou. Autos to R. R. Station. ... 8 Fea) Sele Ae en (Dag. of Wee ile eT Getting Remains from.........../)..,.. Services at. Natntabe. Me. har. Patri cecceee. Taking Remains to........0eec0cee eH eee efeee Clergyman.:....... eee ee Nig” Rona oy Trip to Coroner’s Inquest .........-f. 00.. ie; (Address) Detivering Box to.. ai.. cece oesececcealles cou, Religion of the Deceased...: ee ee Deliver Flowers t0......0ceceeceeeeceeclle... Birthplace .. .JAre xz a, Rate Ve Removal Charger.. ..52:ipeccsnestosccs tlle. cas. Resid s Procuring Burial Permit. Gath wane yet fe aiuto unlit ho 5 SARE Gea ied" . CertitsContanot Sages al ite cian’s or Coroner’s Place of Death. VHIVEMRED eee eee Pall Bearer Service,$.. Use of Chapel, $... . .... Cause of Death. Cy-zprary. fe Ss Poe Personal Service............00-.40.../00Contributory Causes. Mya decrdikads dee etc is edi vta ope ety Bs rupee Bey oe pB sieht ga STs ely ly eee eeseeeeeesss] Gr08s Total for Sales Tax.. 22. .ecc cece. $f . . SF fo ge. ne ee: ere fs ne Physician. co : OF m7.. falar ree ceeeeeees Cc femation ep aL Ce rene en eA line Death Notices in... Papers ....}]....).. Sas bales hu diery TERIOR Peaenioes Be Flowers, $... Palms, . ae Matting, $... ].... ae Rental of Tent, $7¢'9.of Temporary Vault,$... . ... rie Opening of Grave or Tomb.........]].. JZ) 50 Lining Grave, $... Lowering Device, $...]].... .. Outlay for Shipping Charges. ........]. ..:.].. Clergyman,$... Singers,$..Organist,$...l]....]. Ratroad \Tickets, . rae Aro Service,$... [....[.Telegr., Phone, Cable or Radio Charges....}}....]. Cash Advanced.. . 0.0.. cece ccc ccecccccecceccles Out of town Unsere Charges. ......]]..../). OM a eee, Total Footing of Bill......0...0004. $]..3. 213. EA el dtr Mik ene Got oo at ts doce sce se >) . . S a (ous Balance....... b . Diagram of Lot or Vault Orne ow. Ft ed oink wie ns Entered into Ledger, page. ... or below. ae =