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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
Date of Entry.. Metals. ni
CZZ7 Geter retest ter ser sdb eeceseatenecns es vee
Disusbane Wed
a TS acl ORs oo cas celecccces ces OF Age of Husband or Wife (if living)..........Years
Complete Funeral (except outlays)...... $I. 4G.
AMMO das coe Sey MNT ha Bi aisle Shuttle cone areca iN HAAD ¥
serial Vaulb'or Bon.. cic ene cee ve beaull. ox. othe ewes
(State Kind)
PPOMBDING BOG cacao sees eddees so nnc¥eten. ctl en
i (Name of Embalmer)
Harber, \$. eck wi Hair Dressing, $....]]..../...
; oe Dressing Body,$.,.... Underwear,$.... )....J0i.0.,
‘upation ses ok cab WT Gocial Secarhiy Number’ . Suitor Dress.... thas etaaeong TT eeeeee frees
ployeryahd Addyess ...... eee ee ee eee Slippers, $.0.0.... . ip PRS PMERA Sie eit Seine
e of Death. + Bf. x 2 .... LULA) Folding Chairs, $0. Tarpaulin, $.....]].. Res fe es
(Hour) . Candelabrum, $.... Canaieaey ice bce. hoes) hee et
ene ae Door Spray, $::.... Gloves, $....../).. Cae tn
aid — ... Funeral Car, $.... Ambulance, $2.00.. Moe.. hee cen
te Tn tice epttgmemt ot pay ‘4 Limousines to Cemetery...@$......]... ie oe
e of Funeral Gy BAe pga ~ (aa ta af oe) re Extra Limousines ...... Os ete cs Py 34 5.4 Rute
Date) Feek) (Hour) Autos to R. R. Station. ... MOS SA tc ee
‘ices at XY Go Wha win Ca 5 ft. Getting Remains from.....:...02+-2....-ch.. 5,
pate! RITE TRCN Gs Oo ia dceig oles cee his Ses hue
poman Let: Ce : oe Tons ff Trip to Coroner’s Inquest ..........1....]...
gion of the Wee f ttteeeees Piptyering Bow tO vie. cowie sas hah nk eo dec
ti SN og gh ene ae ne Detiver FIWOIPs Ui! 33.0. cent aeons ce ta bels soe
ale “2 7 Removal Charges Wisi: ampea le eee ane vio cl gs dita a
ded in the State. .
"(State Number and District)" ”
——Certif.Copiesof Death CertificatesNo.
(State Physician’s or Coroner’ 8)
Pall Bearer Service, $.. Use of Chapel,$...
oe oss Total for Sales Tax Diets leet culs caress
: : as Oe eg ca eesies Oo eee e Cag.
ees MCN So asin 4 aA Ow yo Nd see
Flowers, $... Palms, $.::.Matting,$...
Rental of Tent, $.. .of Temporary Vault, $.
Opening of Grave or Tomb.........
Lining Grave, $... Lowering Device, $
Outlay for Shipping Charges.........
Clergyman,$... Singers,$..Organist,$...
Rajroad \ Tickets, $.... Aero Service,$...
Telegr., Phone, Cable or Radio Charges
Birthplace. .. Abin Cash Advanced
Out of town Undertaker’s Charges. Urey ans Tels
y, <p Personal Berviee. 605 ose ckss ooo vde cece:
of “oon rice ‘¥~" . Personal Service
Sgt oe) BUR Sikcie_ eae OTR E C'S 6-0, ele, 6 Smiele we eee, ee 6 else es Bled
“C one . -++-line Death Notices i Sa Papers ....
‘be heag . " . 7 pace tes Sipe e Dlr ee ee
eg N Bere Sea. client RES alec GIS ig) 8 P Sie' le 9 0) W 6) 'e-S) wie Didi 5 ioe) sw lee ee’ oe pudiaue's <b os
ke SN TR yo eo erate Wain Sages dewey coSC CSE
ea Total Footing of Bill.. 2.2.. ...0.0000.
hia eer If SAMO a asp: boy dia cbse we eM cia See me
ne I Block MOF adn 2 eh 5 eae he a ee ae
Diagram of Lotor Vault. Owner. .......004. Entered into Ledger, page... or below.