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Collection: Original Records > Death Records

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

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: é 6 RECORD OF FUNERAL WORE Neha d¥ 0 sived eon P Sisa ges es Name of aren {. ee ae ee Married i Divorced ce) ‘Residence: ~7,/ 2 at yy 1 ee ¢ Aca rhe ge erate ris Age of Husband or Wife (if living)..... Charge to: LZ Gs ee a I ? ie LS. oss Complete Funeral (except outlays)......$l/. $}] 5. 3 : Casket.. Seta eee Ae cela ee eect . a Order given by. Ait, (7. Burial Vault or Box ... anieagy pe tate Kin How Secured. : . . Hoe ; Embalming Body ... Geickd Ge tikieey’ If Veteran, State War. 2555.04.00.. 000. ccecccecsceeeus Basher, $20.06 Suess Hair Dressing, $..... }... . Dressing Body, $..... Underwear,$.... . ... Occupation . . SHEFOF LVORS s orsvermchcsd susie ens tees Tas oc wee inthe ci Employer and Address .Jo too.. eee cece ee eee Slippers, $...:.00. eg $. oe Soil . Atala Date of Death ft Bf bt etod LAR G Afolding beta case ay Sok: same Spe Papicds ale Hour) andelabrum, $.... andes, Soc. . sc este wees Date of Birth. Yared CAPA OME Foe. ok, Door Spray, $.:.... Glover $0.0.) see hes.. Nee Ww a ae bade Funeral Car, $.... Ambulance, $.....J... (Months) (Days) Limousines to Cemetery... ey es omer. Date of Fun py a .M. Extra Limousines ...... Ge 4. ee shi eg ae Autos to R. R. Station.... 2 Cogn neiiinne, /aRRee * Getting Remains from...........]1... Taking Remsins to. >. 2. i. oocde diy fs coe ek Services a’ ag Clergyman: 7 = : +. (Agdress ’ Fea Trip to Coroner’s Inquest ..........]}... Religion of the Dec 2 “b DOMVENIME BOXKEO =. 2, osc Ae coke ot oeS ssc cansfecs. Birthply ae a} A Ze 4; Ye ees}! Deliver Flowers t0.....2eceeeceeeeeeeeefe cee. FCNIOVAl CHATIOS 506s ules bic vores ee lee Resided ik S$ : _—Certif. Copiesof Death Certticaeahic. (State Physician’s or Coroner's ) Cause of Dea: Coes , Sige a C708 © Aeepearer Service, $.. Use of Chapel,$.../}... Si salon Ricusas ge 2 ne ye : : erally Procuring Burial Permit.. . cM Wag Cee : Gross Total for Sales Tax Date dle dices auc the $i.. .¢€ b RageNs Causes--F. ap me es He eS di Cy Bs Se nC ene, See Ame Z Aetna A COMI as eS OAs <vawoe Gk oat ar denen “J owers, $25.7-Palms, $ .:..Matting, $... AP Certifying Physician i Lees eats See Rental of Tent, $..of Temporary Vault,$..]. ... His Address..(£Zac¢ez Lake ktta..... Opening of Grave Ore Lomby ek. oe seo he . at Lt: Z: ’ . Lining Grave, $... Lowering Device, gee . era Name of Fat: AA Laoede a a ee Outlay for Shipping. Charges. 25. eS His Birthplace. ..<ee ee ae Clergyman,$/@ FSingers,$. . .Organist,$27>. . . 1 z need iat ’ Ranroad \ Tickets, Bocce! AeroService,$...]]... et ete ; : “""") Telegr., Phone, Cable or Radio Charges.... ae Her aed Lats QOS Z oS ee Cele Pad vated vib yaoi ios ss doe os 0 SE ae of Manufactured } Cemetery 1 ‘es Balance....... $ Re ee 6 ; _Diagram of Lot or Vault Owner. .....-..64. Entered into Ledger, page... or below.