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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 FUNERAL eo eoec weer eee ewe dg BVALLY INUe ee spp e neve ii Yearly No. Name of Deceased CZ a Date of Entry.S2%¢4 Pi glee pice 19. ed = / stirs es tig ae a ae lta Lboacte ier one Residence: BE. JE, R dt _, Dibusbana[ ]Witel Widow } Tlcutieskt rece pease ole . i a et Sie . y Dae Pegi an jl ° Oicawatd<cneciavee se of Age of Husband or Wife‘if living)....2. Ye Charge to: 6A LEbEY. . CAKE). ke LAVELLE T 3 tion mplete Funeral (except outlays)... $ vs £, v4 wv Address.4(/.04 2. LAK. -. LEG 2 : LZ wZ7 Caake ous os. Yo. earth. LRA 0 Order given by. <<“ or ag ne Burial Vault or Box .. daetagy peed i tate Kin How Secured.:. LE eRe ian ba Fate «dee ecey ea aes Embalming Body .. Perna Coen ans If Veteran, State War. sire. leccc ccc ccecccecoeseves Barer $y oii o.<0 kee Hair Dressing, $..]}.. 2 0 1“ haste 2 Dressing Body, $... Underwear,$..]]..). cai 4%5 = gtad pany Da Sie (Social Security Number) . Suitor Dress.. thie tesaaoanay Employer an Pepe net vos ible 6s) tine Pinsin 4 e's @ ini in ae A Slippers, $..s.0. ces Picee 6 le ce I SS Date of Death’ Laan, 26-7. PFADGLK vording Chairs, $..-. Tarpaulin,$...\. ..f. p Date) (Hour) . Candelabrum, $.. Candles, $...]}../. Date of Birth~1 Door Spray, $.:.. Gloves, $25.05 60. fice oak Funeral Car, $.. Ambulance, $. 20.0. wo. ees Limousines to Cemetery.. CO rai ll sces ol abel tae aes .M. Extra Limousines ... EC SIS Re pA . ta . Oye to R. R. Station. .. rh eee, Sa ols Ors tang: Remains: (Ont. i). . hls. disc se tas «os . loe oe scales Taking Remains to. .... cece eee eile eee ee efee Trip to Coroner’s Inquest .....-l.. Delivering Bok tO: icc.cicoss cw cere deevcecsilercs ce. ye Rooter Ae Deliver Flowers to. 2. .sccccecccwecsceacecticesee Removal Charges. oi. boc kee cess sees dete ethos oe cere SR aa ie ria Cataiay. satin Burial Permit. . wae crate ste punta ser ter ses ——Certif.Copiesof Death CertificatesNo._____. ]..]. i (State Physician’s or Coroner's ) Cause of Death 2 Pall Bearer Service, $. Use of Chapel, $../].. . ; Gross Total for Sales Tax.....4. + a se Contributory C A> SIE MMCRIE™ SING 5-6 5k» Mhigiveele oo « Facela bv cae « cP MES bees ge a ig Ae LA Co OM Dil agsy/ taa TA c ae LP MMMONE 16 Ao: biases aS on pn Leal are Saks co3y «Ee ees : Flowers, $.. Palms, $.::.Matting, $..j]..[.Certifying Physician Rental of Tent, $.of Temporary Vault,$.. . ..]. His Address. . .G&. 4 (4x. PL leg) epemeng Of Sarevelor Tomb. oo bins cco ee fa oe we ; Lining Grave, $.. Lowering Device, $.. . ..]. Name of FathéfZ &4 ted, Men y for Shipping Charges. ....]].. Fats His Birthplacs Av Acey peers : i ies Cleggean85-F snes “is -Organist,$.. . ae fe : of Mo Tickets, $.. fare SOPVICO,S ok << Poses veo fee . Motor ? plane ? Maiden Name of opel S, j Pere ky a . Telegr., Phone, Cable or Radio Charges..]}..[-+> Her Birthplace. .7./Z73-A. 2. & <= Ss: PRC PRR Oy ca Rel Sy nce ane ho lel SOS dince'anrdss withe Tae o walle real Remains to 772. Out: of town Undertaker’s PNGB hie coy ciakg ey dae Pp) PONE VIORS. . vivian ccs does Sng ea’ vb vs Babee ate +e Size of Casket 4/7 e 2 Date eG NE a oar a eM GL oe rere ta Re pepe ol ae Ben “ie Manufactured by 4 ee Crematory J ze eae Paes i 7 WZ Diagram of Lot or Vault Nt Ee

RECORD OF FUNERAL eo eoec weer eee ewe dg BVALLY INUe ee spp e neve ii Yearly No.. Name of Deceased CZ a Date of Entry..S2%¢4 Pi glee pice 19. ed = / stirs es tig ae a ae lta Lboacte ier one Residence: BE. JE, R dt _, Dibusbana[ ]Witel Widow } Tlcutieskt rece pease ole . i a et Sie . y Dae Pegi an jl ° Oicawatd<cneciavee se of Age of Husband or Wife‘if living)........2. Ye Charge to: 6A LEbEY. . CAKE). ke LAVELLE T 3 tion mplete Funeral (except outlays)...... $ vs £, v4 wv Address.4(/.04 2.. LAK. -. LEG 2 : LZ wZ7 Caake ous os. Yo. earth.. LRA 0 Order given by. <<“ or ag ne Burial Vault or Box ... daetagy peed i tate Kin How Secured.:.. LE eRe ian ba Fate «dee ecey ea aes Embalming Body ... Perna Coen ans If Veteran, State War.. sire. leccc ccc ccecccecoeseves Barer $y oii o.<0 kee Hair Dressing, $....]}.... 2 0 1“ haste 2 Dressing Body, $..... Underwear,$...]]....). cai 4%5 = gtad pany Da Sie (Social Security Number) . Suitor Dress.... thie tesaaoanay Employer an Pepe net vos ible 6s) tine Pinsin 4 e's @ ini in ae A Slippers, $...s.0. ces Picee 6 le ce I SS Date of Death’ Laan, 26-7.. PFADGLK vording Chairs, $...-. Tarpaulin,$.....\. ....f. p Date) (Hour) . Candelabrum, $.... Candles, $......]}..../. Date of Birth~1 Door Spray, $.:.... Gloves, $25.05 60. fice oak Funeral Car, $.... Ambulance, $. 20.0.. wo. ees Limousines to Cemetery... CO rai ll sces ol abel tae aes .M. Extra Limousines ...... EC SIS Re pA . ta . Oye to R. R. Station. ... rh eee, Sa ols Ors tang: Remains: (Ont. i). . hls. disc se tas «os . loe oe scales Taking Remains to. ....... cece eee eile eee ee efee Trip to Coroner’s Inquest .........-l.... Delivering Bok tO: icc.cicoss cw cere deevcecsilercs ce. ye Rooter Ae Deliver Flowers to.. 2. .sccccecccwecsceacecticesee Removal Charges. oi.. boc kee cess sees dete ethos oe cere SR aa ie ria Cataiay. satin Burial Permit. . wae crate ste punta ser ter ses ——Certif.Copiesof Death CertificatesNo._____. ]....].. i (State Physician’s or Coroner's ) Cause of Death 2 Pall Bearer Service, $.. Use of Chapel, $.../].... . ; Gross Total for Sales Tax.........4. + a se Contributory C A> SIE MMCRIE™ SING 5-6 5k» Mhigiveele oo « Facela bv cae « cP MES bees ge a ig Ae LA Co OM Dil agsy/ taa TA c ae LP MMMONE 16 Ao: biases aS on pn Leal are Saks co3y «Ee ees : Flowers, $... Palms, $.::.Matting, $...j]....[.Certifying Physician Rental of Tent, $..of Temporary Vault,$... . ....].. His Address. . .G&. 4 (4x. PL leg) epemeng Of Sarevelor Tomb. oo bins cco ee fa oe we ; Lining Grave, $... Lowering Device, $... . ....]. Name of FathéfZ &4 ted, Men y for Shipping Charges. ........]].... Fats His Birthplacs Av Acey peers : i ies Cleggean85-F snes “is -Organist,$... . ae fe : of Mo Tickets, $.... fare SOPVICO,S ok << Poses veo fee . Motor ? plane ? Maiden Name of opel S, j Pere ky a . Telegr., Phone, Cable or Radio Charges....]}....[-+> Her Birthplace. .7./Z73-A. 2. & <= Ss: PRC PRR Oy ca Rel Sy nce ane ho lel SOS dince'anrdss withe Tae o walle real Remains to 772. Out: of town Undertaker’s PNGB hie coy ciakg ey dae Pp) PONE VIORS. . vivian ccs does Sng ea’ vb vs Babee ate +e Size of Casket 4/7 e 2 Date eG NE a oar a eM GL oe rere ta Re pepe ol ae Ben “ie Manufactured by 4 ee Crematory J ze eae Paes i 7 WZ Diagram of Lot or Vault Nt Ee

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

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

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