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Collection: Original Records > Death Records

Mortuary Records 1943-05 to 1945-08 - Index Included (343 pages)

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RECORD OF FUNERAL _ Oetusbandl witelAWidow ail . os Ze. tthe ova "Address. . Bane ia oe -. Order given by. es TEs 4: How Secured. . ee _ Tf Veteran, State War Lb informant) = Occupation . ee — Employer and Address (Hour) E 3 Date of Death Zeca a LA EF. ca “ ; Date of Bi : Date of Panewi. Lut, Bae — A \ Hite.. M. fe (Date) ay AE Hgyetd ) ~ Services ated Clergyman Religion of the Birthplace Aa ® Resided in the er. Y. % (or eceased . ee EOG NGG: ci vos ost dbs ele Grave No......-. unt Section No........ Pall Bearer Service, $. . Block No..0..: 0000000: . ee ee ee Pe (Name of Embalmer) Hair Dressing, $.. Underwear, $ ee ee eee ee wee ewe wwe e se VILUCE WC, Dp. ee ee ete ee eee ee Hose, $ Tarpaulin, $..... Candles, $ Slippers, $ Folding Chairs, $.... Candelabrum, $ Door Spray, $ Die eesti Funeral Car, $ Ambulance, $ Limousines to Cemetery @ $ Extra Limousines ...... Autos to R. R. Station Getting Remains from Taking Remains to........02 eee eeee Trip to Coroner’s Inquest Delivering Box t0.l. oo. coe cae sta ealve oi caes Deliver Flowers to Removal Charges.... 0.0.20 ecee cece eceee ‘. Procuring Burial Permit........... te Number and District) ___Certif.Copiesof Death Certificetestio. (State Physician’s or Coroner's . Use of Chapel, $ Gross Total for SaJes Tax,........-$ Outlay for or Sas Tas 1 eg a ly iT ay IS POMALION ct, scarcloistotleraitjaco «aid viola lea dis fone heaaa ee Flowers, $ Palms, $ Matting, $... Rental of Tent, $..of Temporary Vault,$. Opening of Grave or Tomb......... Lining Grave, $ Lowering Device, $... Outlay for Shipping Charges. ........ lereymnan,§ Singers,$.. or Motor } Tickets, $ =r Telegr., Phone, Cable or Radio Charges Cash Advanced.. 2.0.0.2.. ccccc cece cceces Out of town Undertaker’ s Charges...... Personal Servis, cick dca b's ae 2 asa Caw So vate c eee ew eee eVAMULD, De ee ee ee eee etn ee we we ade ee eoenees eee ew wo eFAUIIVUIGIING, Den ee we ee ete ew ee ee de Pe oe cs . CC ce i ee ee ee ee eh GALLLID, Do co o e AVLAUUILIE, Di. ee eo tin ew ee ene weet ee ee plane MEL VILE Pe 2 ee elle we ee eee es . ee ee i ee ee i ee ec. . Pee id nd oo ee . ee ee if ee a er eis . ars iy ee re . coe i ee as er wee eee ede . ee ee eee i)