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Collection: Original Records > Death Records
Mortuary Records 1943-05 to 1945-08 - Index Included (343 pages)
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Page: of 343
NK .
DOCG) NG.. ce oe no's v'50 tne
N ame of are
0 Married
-Residence: BES i, Z.
RECORD OF FUNERAL
SIA ween LI
Single .
i Me El Gs eee a a
LLL
2. & Charge to, LE. on Bf: y
Address. (222. MEA. H aa
Order given by. Gin. ore A“pradtle Burial Vaule OF Baio on cea. oc bce ves cihewed Mle caw s “4
(or informant) : (State Kind)
How Secured. : A227 C27.. ccc cece en cnee. Embalming Body ... Gener iatsuigey’ Cece
Mf Veteran, State Wari.. 05 SAN. Le. Barbee Ge, sa aves Hair Dressing, $..... ].... a
Dressing Body, $..,,.,.Underwear,$...].... eo
OP Sra 57-23: :
Occupation . CATA. . Au (Social 2.3. OV40 Suit on-Dress 7 92/ hihane, RE oe uy Z2.\0.¢
Employer and Address ...... 00.0. cceceeccueccees Hist £00
MHppers, So.. vs cee cae BR) Parivar levee Size cH olatees D aay
Date of Death. ba. Mh how te iy et. Ep) VE, A, hee ran ap ig UTR al ie pre Ba cic ee ee th
(Date) (Hour) andelabrum, $.... PER roiciey ais «Sle Silene wae re
Date of Birth. pee alt oe. Door Spray, $.:.... Giovees$.. isc 6. of. saved in
Age.. Pe de, ae ae ae es ai Funeral Car, $.... Ambulance, $.....]].... pe
(Years) (Monghs) _ ays) Limousines to Cemetery... Cee cal eit aae . Ee ae ae §
Date of Funeral Va. LY Gee den.. 43.0//~ y. Extra Limousines ...... Sa eeec ee, bs
; Ze aad, inepiay”, Ge Autos to R. R. Station. ... OE rs wcicsyy otal ite Tangs ants
Services at? 7.72 AEAUA. -F: Aireeee Getting Remains from....... me eas hee te eta tak
Taking Remains to........cceeeeeeeelecceees ane
Trip to Coroner’s Inquest ..........1.... Man
Ah RPOMVORUNE DOOR Wises s «ails 58 cop nn eee ey Cs ew a bina a ae
SLM IOUVOE PWT RO old yika'eip eis sinin¥ nee vas 0 AE waag oe ase
EME ETON, io oi 6 i a doa sso Kage wry sia Hei Berea ee
*-. Procuring Burial Permit...........{).... Mae
te Number and District)
a4-+—Certif.Copiesof Death Cortihicatentio 1 Ie th
(State Physician’s or Coroner's }
Pall Bearer Service, $.. Use of Chapel,$... . .... oe
Gross Total for Sales Tax 5, AE SARS Bae, SE . Oe 2
Outlay vile 4 stag ng are Glens sock ss relat yatta or SHR Ae ae
Cremation. aad ea: Se shes une sd Oy er oA 2
so
. Flowers, $... Palms, $.::.Matting,$...l. .... ..
Certifying Physicia ‘++! Rental of Tent, $..of Temporary Vault, $ . oe oe
His Address‘ Opening of Grave or Tomb... Pee sie adetes, weteei: Beles
: abi . Lining Grave, $... Lowering Device, $...]. .... nae
Name of Father . Outlay for Shipping Charges. oe. wos: les
His Birthplacé/... Clergyman, $4. 7=Singers, $22 “Organist, $2E> NP fs "2
ica ee pRaitroad Werickets,$.... Aero” Service,$... . .... ae
ieanantrieme diets Telegr., Phone, Cable or Radio Charges..... . .... asi
Her Birthplace.... ey ee AO aT De Re: AURORE ee TP :
an} timiaies Out of town Undertaker’s Charges..... Red . ae. 5 Airs
PORNO SEUNG eo oa cia sie ost bk oy oie She oe aces AE be ae
Size of Casket-4: 7.40 ( Catmnfog rarest. 0.0.. loc cccccecceebecencneeeecccccccccc ec AL
Manufa a a . line Death Notices i 1G Aves: 7 era Gane ere,
a. Tj ett cae gate wren sngnomcc) eee
Lot No. Seer tite eG rig cee tiga &Pans os fn ene 0ah oe WS 6S Kis were Se bie WR «ld t ele Ue «cme aw sees
Mea es Tax Ss ai Meg hae
‘ Total Footing of Bill
Section Now. ol. i ccehee<.
PCS e wa tee «3,505
tock Nowe osc. c ei cchue ss
. . 0
WV EMRE soa 4-0 alle vile a 'Reww ine « oe Entered into Ledger, page Diagram of Lot or Vault