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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 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