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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 otal No......-; Lebie FE Me A Br ame of Deen. Me Lheartcth MMe dain......6 Uebel.. eee ee eeee reer eres eweseeeeeeeeeeesreseeseseeeseeeeee s Address ume of Father?7 LIZ 3 Birtipnenize ce aiden Name of Mother/ roe: r Birthplace: rtifying ey mie 2 esi sak . rs Remains to (edo ee AS: eee cope aie I Diagram of Lot or Vault . Lining Grave, $... Lowering Device, $... “. Railroad ‘. Personal Service. ss pf tL PE ed ee aN ed Rental of Tent, $..of Temporary Vault,$.. Opening of Grave or Tomb......... Outlay for Shipping Charges. ........ Clergyman,$... Singers,$..Organist,$... Ramet \ Tickets, $.... plane Service,$... Telegr., Phone, Cable or Radio Charges.... Cash Advanced.........00eeee is te Out ‘of town Undertaker’s Charges...... a id Ce ee rd 0 Divorced esidence: 2 J 2? . Ag? Gygec Rb GGG i ae Pe ane apa . aed Yee EZ <4 v7 harge wo Livee LA. Ha 22 v VA eos, Complete Funeral (except-outlays)...... $ BY Es ‘4 3 . ah amet Casket..... Vi LMAVAL LA. AFALNOG. rder given by ELAELAGs + +s eeerersBurial Vault or Box .......cccceeeesecde ccc ccchecece. (or informant) (State Kind) ow Secured. : A i, cova keen erneks taht Embalming Body ... Geinc geen ccf te War. = sec PIO LYK ~-L7 LE) Barber, $....005. Hair Dressing, $....l}...-[.0.. ee lee Dressing Body, $..... Underwear,$.... /....J...,. seupatio AP ALE. >: PROM PUIP ORE 5 5 seis, x alert ali ce uUE Sse Salil era el boo a eee ae rs Suit or Dress.. SE nployer and Address Rae oh FH : dishe) es!) 3, 2721 >. Bae Ree alr Cae HOOT Sk eo. pe eee piracy elas ate of Death faa be, a ae LEAMA . Folding Chairs, $.... Tarpaulin, $. 2.2.6.2.. . safes.. ) (Hour) . Candelabrum, . a ea Gandles $5.0 os lec. sadn be oes ate of sii LAD. Oe =v Ge aa DE ae) Door Spray, $::.... Ca i Cie eas : Z ats — a oe et ed es Funeral Car, $.... Ambulance, $..... . .. aie ken elect age <2 as) se onths) (Days) Limousines to Cemetery... cD Pe Mn meien. © es ate of Funeral Pte.. /f C2 bom, Extra Limousines ...... es ob oes eek i) dou! Autos to R. R. Station. ... Sean, eee . He rvices a TE + “«+»+! Getting Remains from. .......00e ee eullee eee ee lee eee ergyman. GE, ys: Lo Taking ERORRVSULEIRILO piste acosinsiads ioSttere rielt da lantuarstfthoo-s .cissasal Pos ae Se aD 00 Coroner 6 Intent. iii seis oo aes iol w cag sufi oe sligion of Sop tte e teen ee eee PRG ORINE TOM GON WS oie odo as ok won ie ha ee Is view oe riko / ye ea a SVE PTO WA oe ovis «Sewn wire sisi sae ety sPas acs cube sates vane FUCMMO VAL CHAIIOS. ci.) scone «secu coe aa we eieroa.s alles vo oes dl fee ean sided in the State. ce er de sizatigy . Procuring Burial Permit.. . sod Wntiet ‘aid biewie’ “CCCP ace of Death. . tte 2 . —Certif.Copiesof age sea Sethe ee ysician’s or roner’s . case'of Death Kenalanat Akp-2222 [Pall Bearer Service, $.. Use of Chapel,$... Dy. c— 2% A Gross Total for Sales Tax......-.0.0$i.. mtributory Causes.“ pnt 168 LOG. ois coaus shiz eabancw coke eweke MUON ig cg he a cas ide dees ee bo Sg a bine Flowers, 3/9-2-Palms, $.::. .Matting, $ pig. and le lag