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Collection: Original Records > Death Records
Mortuary Records 1945-08 to 1947-09 - Index Included (325 pages)

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Page: of 325

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RECORD OF FUNEKAL
Date of Entry..
Charge to. LMT SF =tiGiaseh ip a at S58 ee ae
Complete Funeral (except outlays) LA fon
Address or ae . PE eS Pe Pe ee es Zt.
Order. given. by Burial Vault or Box ..... bets a erescces hey 2 cee
: . Embalming Bod sees
How Secured. .. m g rasa rae te = Se ee
If Veteran, State War.. .. 2. -ssccecce cece eeee eee e eee Barber, $...-.+.Hair Dressing, $...-. . .-.---.
a Dressing Body, $ UG Cen. Lampe mcs
Occupation..
Sesit-or Dress UZ: 6. Like e A seduces : 48.
tate Kin and $26
Employer and Address Slippers, $i..5.3.¢..Hose, $4.. . 000 ce eeffe eee eee
£D th _. Folding Chairs, $.... pi. . 3, Sapeemeanednen Gr arte
ee See Candelabrum, $....Contes, $00.
Date of Birth. . Door Spray, $.:...Geet Susie sag hoes +
4 fi Funeral Car, $.... Ambulance, $....-]}..--eee Limousines to Cemetery...@$...---+-. h----Date of sh ame 2. Si Bee 2g 7? 2.6 /%. Extra Limousines ...... CRE A te ae
ON of Week) sHour) Autos to R. R. Station.... Ge Siu as eae wk eae
sare fase Getting Remains from......-.-+.e-+e fees eee
gr he Taking Remains to. .....-0cee secre eer eet e eee
Chgym oe arated Trip to Coroner’s Inquest ......--2+---fee eee
Religion of the Dec 0 Zu lea ape nies ties Delivers Bow to.. vs eo od eee eens
Birthplace Zain MOLL. Hibagea Re 2 rere te DEH VGH PIOWOFE (04 fb Sore op bila wea oles een ote oe
Re ow PR GMO CPSC coos oie canals ood sone fanace oyecb es 20e Phale ad Sie
ie Resided i in the Sta tu atoms” ‘haa (ikea Procuring Burial Permit. i et eae nace
be Place of Death. Ea fa Br test racaltt ar Sasly Gite eter ___Certif. Copiesof Death CertificatesNo. ares
(State Physician’s or Coroner’s )
f Cause of eS AA th Oe. a Pall Bearer Service, $.. Use of Chapel, $... ape
Gross Total for Sales Tax eg eicla leur tas 4 $i.. g
Contributory C cmp Chl . TAPE MARINE EOE CLAY eo 55 lowe ¢ +s cae s'aiqe'e.s ce <b m bad ok
— BP ‘ CRESTOR erie Batis ins cies eS eg ce eae a eee uae was wa
Flowers, $5.—<Palms, $ .:::.Matting, $...]}.. Fe 3
Rental of Tent, $..of Temporary Vault,$..]]...
ae iii, seat sv Opening of Grave or J ATi ewan igre Saar ear.) Hee aeen
Lining Grave, $... Lowering Device, $...]}...
teeter tees Outlay for Shipping Charges. -z....--.-sy. -----Sc ae ieee eee NE hie Clergyman 877 ‘Singers $22Organist, 2 sel a Zé
i road \ Tickets, Ors von plane Service,$...]]...
“tg Sy Sa Telegr., Phone, Cable or Radio Charges..... . ..-Gash AGVANCO 2 6805 v6 a ala s,sue whee Gain Wei vree.d velar ve'ee
Out of town Undertaker’s Charges......[f...
STP GPEONGLMCEWICES vie occ ke hilo os ee cS wcslere elfen toms
iS aetieat iienin Papers ....[}...
Oe as Bh cee Hididteeestay Tee
a Bes A ae ee
ea PAE Eh Total Footing of Bill...........$ TA x
Brae, iP i en tes arr pice some . le dr,
eel ane
Balance.......$]. #22
Seaside) fice stone imasleit hes Entered into Ledger, page...or below
. Amount Paid . Balance . Date . . Amount Paid .