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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
KECURKRD UF FUNELNAL
Total No... Fendy MOb isu otic eben ae Date of Entry. Cadadst og : Ey @. Pes ¢ 194
Name of ona eae : Z, Ei, Lhe Se ee ye MMe Bint WP lee oye a oe A
ey Singl Wido ( Divorced
oe Is Thee Bt) ein, ire Tae om Aen Sud ereeet at of § Ageof out ae
i“ ees oe 234.4. PEs Zi J, pore i ee Funeral (except outlays)......$]). SO\F
ress.
SOR ee se ee «. ore dade S. caih. Senceabe ey
Order given by. Lue. Miele Steet nena Burial Vault or Box .....-0eeeeeeeee eee ee ce eeee
How Secured. Kg bet a Ps gid eet, ae eee Embalming Body ... haere pe rete oe. wed
If Veteran, State este WZ, AD.. 7. Bee ert oe. Barber, Se yt dle Hair Dressing, $.. ..]]...tar
Dressing Body, $..... Underwear,$.... . ....
Occupation sip Mee Beata (soca Security Namben’ ". Suit or Dress...-oo. sere esaneasssss dee er.
Employer and Address .=-7..,-.---e+eeeeeeeeeeeeeees Slippers, $....0000. Pode, S$.. ic. nsvewesie. sone ist
BAB. lye. A 2b ied. \ Folding Chairs, $.... Tarpaulin, $.....[).... ea
(Date): (Hour) Candelabrum, $.... Camlea, Si" tire Seats atone ioe ahs
Lc TO i 5 Door Spray, $..... CGWGE GS in wi 5 iil ee ;
—2 Ph Foe ain Ene Funeral Car, $.... Ambulance, $..... . ...-. sls
ery = Months) (Days) Limousines to Cemetery...@$....---. Je-ee edeee
Youre oct -~2EYY. 2 f-M). Extra Limousines .....eel ae re
Lec iy pl Week) oe Autos to R. R. Station. ... (aA Sigs SEN og eave ed . he ie ca
es Awe “#4 . Getting Remains from.......-0-eeee fees eee ef.
Clergyman/Zew~ — A Sele ee SI NS big 2 Taking Remains Pe ey aa word es pocie dae sapere pul
ddress) Trip to Coroner’s Inquest.. 2.5. es ee the cone oe ar
Religion of the Deceased. : th Delivering Box to. .....ceceeeeeceeeeee cece eee. ie
scabnmla nace Ga goy. I atte > Deliver Flowers t0.....0eeeeeeeeeeeee eee feee eee. s
oe 3 : Removal Charges.. ..0sccccessecescee cocedlie cece i
Resided 4 the State. “Giiy ox Gojmthy, ‘Griaisy’ " Qiaantisy ". PPOcuring Burial Permit.. .....; ieee’ PO ae
Place of nea LeBeeal piven A. ; . —_Certif.Copiesof Death CertifieatesNo. en . e ha
ysician’s or Coroner's }
Cane dy tea A. i Li dets J hiu Rheartt Pall Bearer ai: oh . Use of Chapel,$... ].... na
ross Total for Sales Tax.......... . SEN es
Contributory Causes. Qe carrera avila win ad) Le gt Cc, SL eee ene: Omen Sonera ee
hhhacisifie ue, bod He Z PA OMNES cs <7 a weia rg 4 wah ans Ooi nla goa leon UM iyne alse hee
GY Flowers, $... Palms, $.::.Matting, $...]]....)..
Certifying ae AV. GALS 5 ‘i Rental of Tent, $..of Temporary Vault,$... . ....
His Add LAA Opening of Grave or Tomb.........])...-.
. ager Lining Grave, $... Lowering Device, $... }....]--.
Name of Father agate: Ae s Outlay for Shipping Charges. por cee eee . eee tae
Gin tactignest, Lalo te oe ae Sara $5.7-Bingers, $Z=-Organist,$..... Z\F
L, vA JE L a Tickets, SOs ac. ane Service,$... ]...-. Lad
or Motor ? plane ? eso yes
Maiden Name of nell, **!. Telegr., Phone, Cable or Radio Charges....]].... Ae
_: Her Birthplace.. Ce2deer7. .. 2.0. e eee ee cece n ence ees OR i rr: Sener 5 :
*. Motor / Lroctthbés Out of town Undertaker’s Charges....... /....]. 5
p } Remains lan a ites i Pursotial Servi0e. 2. ives. sess esses een If\.4
iS a WECM Ores oo: 5 wien ged ol peng olga wind a ola RPP Wl Sle pig sill «ino hoyRS om sek ae A DNS pin giles Ge 8 Ee 6 soahe ;
ae “Man nua Se ae a se ioe tine Death Notices i in... Papers ....].... oS
* : Lot No Pik edeasis = Spas, bite oth Toten COE ee ee 0s ob #0 2 0 8 oe «0 b6 0c ce 2 eae owe we we 0 st toe ses o.
bs = ; Beat Teak reo sides ciumeccaMee oe ie ees Bane ME ots . ——d
“3 Be GFOVE ING: oe d Soe etlre oo ’ ;
1S. : Total Footing of Bill........02.005$I.. 4 o12
Be Mics Section No........
e Sa d Block N NCS Ss cio aes bicsbin ew stdin eiecsia «16 bd nicks trae aw eres $ bie udae oo
Sa vet ape it aes ay ! Balance......-+ee
* Diagramof Lotor Vault Owner. ...---++s++0+0-Entered into Ledger, page... or below.
Date . . Amount. Paid Balance . Date . . Amount Paid . Balan