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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

RECORD OF F UNERAL —
é Name of iimeesd Ne . 4 Cott Fetes eee cat) Sera Mn wet ace cheats Lind sieaiia ton oe floc.
= Pee D Single Widowed C) Divorced ttaee, Race)
» Residence. iis, © CPEB. oobi a oa OnE owes eT AOMORI es os
3 Charge to: .,<
a Address.
24 by. .<
eo. Order given by ‘oriutormanty 77771 '. Burial Vault or Box ... 0.0.0. .e sees eee ceed ee.
bcs AY OY acc aioe ois Se Ay Glee es, 5
‘= How Secured.. A Ged Par Aas Ta pk eagle ais ak da tae Embalming Body .. ia ti
Veteran, State War. sisi.. ee ee eee e cere eens eee ees Barber, $.....+. air Dressing, $....Beck
ai Dressing Body, $..... Underwear,$... ant
_ Occupation . . (Lararts cline Re ewe age ante a eel See Cre
ea (Social Security Number) (State Kind and Color)
4 Employer and Address. Tie be ceie sic sled Sikes Wale eens Slippers, $.....+.-. Huse Se 2. ila
© Date of Death. lijecil, 2-K42...<. UGH. . Folding Chairs, $.... Tarpaulin, $..... he
a (Date) (Hour) . Candelabrum, $.... Candles, $...... a hae
© Date of Birth..:....0000.e cece Z fo? oe ee Poor Seray. $2.c0 +5255 Gloves,.$. ..sfeecss: oe
ex Z et RE Ee Re the See cect) eee Funeral Car, $.... Ambulance, $..... ‘Aes
ee ee (Months), (Days) Limousines to Cemetery... es, ue oe Ste
= Date of Funeral LA. Keget, 3K. : We AA Extra Limousines ...... (BY GO aie is eae mgeibs
: C Y st Cf pete (Hour), Autos to R. R. Station. ... Cae 2. pees me
Services at.< 7. KIN eT ageek -+++! Getting Remains from.........605eel
“a BRLard2 feo Daa ile Taking Remains to. .. 2.. 2.. cece sce weeees scaled
i en an 404 “2 fTrip to Coroner’s Inquest .......-.05: ce
=~ ©Religion of the Deceased 2 ZATA ALAA.. 11.00 Delivering Box to.. .6 065d incee veces tes oeds vam
a } RE rh LL? ete eee Deliver Flowers to.....0ceeeeeeceeecees oes
q puthplace = a Removal CHargee. «05.555 ccs ees kd eee a cles i
4 Resided in the State <7. . bis Cos” “ribhy’ okietie; '. Procaring Burial Permit. fate Sieted “std biota WTO
> Place of Death. eens i ha PALE # _—Certif. Copiesof oe ie
E ysician’s or Coroner's .
. Cause of Death. ; Pall Bearer Service, $.. Use of Chapel,$... oe
4 . Gross Total for Sales Tax.......0.055$]]..
4 Contributory BUSES: 5 saree a OS eis icin + Cos coe eels erect tite Wor Ease Se ee oak honor ce cw weds vay
E é: JB See ae : : ROPOTRTIOD S55 wicks cess wh a aie ep oe ee oe Lass p acai
Flowers, $... Palms, $.::.Matting, $... ee
Certifying Rental of Tent, $..of Temporary Vault,$../}..
4 Hi Adar Opening of Grave or Tomb......... mets
Pee. Lining Grave, $... Lowering Device, $... Bate
. Name of Father.... Outlay for Shipping Charges. ........ pipe
His Bi Cl garSs», Singers,$..Organist,$... ao a Birthplace..... (CL Cd ELCATHAT. 005s Clyne aoe, Oreaniet,§
: faiden N £ Moth oF Mont }Tickets, bare plane Service,$... eet
alii oe nvaweeees**") Telegr., Phone, Cable or Radio Charges.... cad
Her Birthplace...,. COM AGVRBGEN 6 bio eiecccnin ccs cas cocks eenewee ey
Out of town Undertaker’s Charges...... : WEE
i Remains to ebied Personal Service. ...... 0c cece cece ee eees es
Si e of Casket .% FLL ReLRaCe Oe AER ME, os a uid vere rear w ot Gone s
n fat nufactur ed . line Death Notices i Taine 4 Papers ....
Cem« chee . Ce ‘ dna Reber Sie © 6 a ose wh bee ese
te ee a ee oo ecb
Total Footing of Bill.......0.0 000. 3.7.3
SFE tang ge! yeti areose secre yelnng oshie eave dicts tars cena ae :
. : Balance....... $
Diagram of Lot or Vault Entered into Ledger, page... or below