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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
bk RECORD OF FUNERAL
Total No...... se 7» VBBI NO oes eeees Date of Entry. Lacears bea oe,
0 Married lag Si sacle mage Rac
Residence: 2. % (atfa2, ye 2° me SOT eee Cnn iciin LZ Le LM
LAA Cog ee a ae ey tte re: De, zoel ites Ch Age of Husband or Wife (if living)....@%....
Charge to ss a of Sahel SR re ot ane
haieale a PL Lg foo aed Poe i; Complete Funeral ae Oba veel. eso $ fe Po Ps
Order given by. Cnapsef le Z14242#). Meee :
Name of Decease
(Name of Embalmer)
Tf Veteran, State Wear. rT os ck os cede vce o olewe wets Barber ii AE Hair Dressing, $....]}....
0 ti Dressing Body, $..... Underwear,$...//....
ecupation 4. STZ. ZA< ZC BUEL DA, oon cee. ° .
er Security Number) . SUitor Dress.:... REE Sovet CNRS Taare
Employer and Address 2.77. .40 05.000 c ccc cnes see. Slippers, $....... Hoe Boe. een ek ;
Dake of Denne ee 2 Gaz, . Folding Chairs, 3. Tarpaulin,$..... ....
ea (Hour) . Candelabrum, $.... Candles, $... ASN eae :
Date of Birt Pe" Me we &. A, ir ele e eee Door Spray, $.:.... KSOVOR ew es ee Wy eee ,
Age. Ce oe Fee ae ah) ben We Funeral Car, $.... Ambulance, $.....]}.... '
ier: (Months) (Days) Limousines to Cemetery.. . . MD nce vom wees a tg tae }
Date of bet ie I ae: inftee ee .M. Extra Limousines ...... PO cca es oti athes ‘
His (Date) Lay (Bear) Autos to R. R. Station, ... ih TR AReeMr aren: (Sree it ;
Services at/¥:72 Tt. wes ex <=} Getting: Remaine from.. 6/6. .5 sess cose lille. a,
Cheesyiien Xe (Chef sf Agee 2 des ee Taking Remains to.. 2.0.0.. 00s ccecesseeclec. 5,
a: tie gh SS Trip to Coroner’s Inquest ..........]].... :
Religion of the Deceased AA Le-4¥2¢, Lo chad, Doe 4 EE OI eter kt. allan nts 4
Birthpl ; EPORV PE WINNER oy 9-0 3 Gy apie ive ss ace ce ;
u BRE 5 ha Sista” REMOVEECROI GI oie osc seks cocesovvccteyes. :
esi e : : : (rear) (Month) Procuring vg Permit. . en Aone CoE . en :
Place of Death. .: ae ae MEME TOR ko Saw a can wedeie lak ——Certif.Copiesof Death GertificatesNo SAR ate
E (State Physician’s or Coroner's ) J
a ee AG a Myo, fe Pall Bearer Service, $.. Use of Chapel, $.../. .. i. m
pss Kt Le Gross Total for Sales Tax pee ale alet aeiece eee $i.. 3%. 2
utory Causes. ta Cis teres RNS SE he koe tars hee ese oe ee E:.
gion ne gc a eta aA ne OIE eae Socks .
Flowers, $... Palms, $.:..Matting,$...].... ¥
Cetin Physician Rental of Tent, $..of Temporary Vault,$... __.__. i
Opening of Grave or Tomb:........ 000
Lining Grave, $... Lowering Device, $... . .... Py
Outlay for Shipping Charges. ,,, aes epi tapieroay ae . cas Pa ais
oe, eg Singers,$22Organist, sZe2 . AA\2
= iiroed \rickets, . Seat a Service,$...]}.... be
My Telegr., Phone, Cable or Radio Charrete is. cokes bee
Her Birthplace Epepla AM PVE oo oe eel ents ha :
Size of Casket ZO/, Wea eee. 2¥6, z ta. Rita aRecig dE cease e oeine Dens yl her”. Cn eee
Misimtttactos ee Ne arc eal .line Death Notices i Mr cts Papers. is. td vcs
Lot IN Ope see Ee le We bc Pome teie one oak ets Sere EL bea Ho a rt ees ae
eas SOOM BOM: etree sw oa hike ee Poets! _———
Br ae eee ae Total Footing of Bill......... 0.. Sho LAA
eave kcowentns one po Se Ne eM eee lla di eee $. .72.12!
— c— Block. Noses. eck (En OO a S347 4
Diagram of Lot or Vault Owner o 0: SW w0 le) O16 ew wim ole lel ene « Entered into Ledger, page... or below. ? .