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Collection: Original Records > Death Records
Mortuary Records 1953-05 to 1955-07 - Index Included (327 pages)

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Page: of 327

RECORD OF. FUNERAL
Yearly No. «7A. oo 0.. Date of Entry. Cf 5 al cd's Fxvedien dates a 19
Name of Deceased. . We het. ee car
0 Married EX Single DD Widowea oO Divorced (What Race)
Residence (4.2.. xyes. CE.. eee
Onarne to ccctlete haved, C. LEAPED ooo)
Addressee? ch Sea Aer Kaealtsled.
Order given by¢oe ej. ie ee ee
or informant)
‘Sims Gor ree rs: i
If Veteran, Name of War ALGO Eo eee ml : eg Hair Fain : ee . enn
= ressing Body, $..... nderwear,$.../}....).Occupation ron -Heeterieet os. AOE BAGEL suit or ice ; :
Gisist Sekore Seana Boh he tie abe tin Sp sheitbiorsllty, La adesecte
Employer and Address ....... 2200 c ee ee eee eee eee Slippers, Se 5 ee ee ke Piso Se. ee a ee
SEBS ADR Folding Chairs, $.... TOP POUND, Bs os'o-o dsc llee. 2 bee
Date of Deat OF LB. oni Fs ie ook : Candelabrum, $.... Candlesy $e 00. i Ns eeu
Date of Bi Hee AE ede Ase.. mh. _25-. Door Spray, $..... Gloves, $......i)-...
(Mo) Waxy) (Mos) (Days) . Funeral Car, $.... Ambulance, $...../)....,.Services at, * eran . beeen e eee eees Limousines to Cemetery... Sed. oF side atone Ae eA
Cl “ ye aes oe Extra Limousines ...... Oo ae SE . IE
— Ar. ae (Address) Autos to R. R. Station. ... bem let eee
Religion of the Deceased. (240 oo c eee cece eens Getting Remains from..........0-l/.2.-.[eWirthataes os armies. Kets ccc es Taking Remains to.. 0. 0.6 oie ee ee edffee coe ees
. 2 one Trip to Coroner’s Inquest.. ence sles eee d oe oes es
esided e State. . FE 0 SES j aie ae pore Delivering BPC Pee ote es che ‘des dad cation elec, E
Place of Dea — >— . Deliver Flowers to.......0cccce cece eellew sees
Cliote. C ‘. Removal Charges.........0022.ce0el..00Conse of Death: .. 2.. 0.0.0 seccesseveesenedessecesee Procuring Hurvad Permit.. os. os ce os og vas ol oe
: Copiesof Death GertificatesNo.
Contributory Causes.. ices ceca cnviieseeceietieceesases —Certif.Copieso Stas Pri = biome art agin
ss Pall Bearer Service, $.. Use of Chapel,$...
=. ‘ : OM ur ga tres ie Mar astro. ace Widlbarec woe rik rvs pike owas tg ea ee = ar Fame
Certifying Physician...... pny eh tea ey Outlay for Lot...... 0.. cc cece eee ee ee . Sakae
somone ew 1 Cremation....
His A LOS teayegeaSEa ap eEs. a) pS: a) cle io Sl mlatelelajele aia; s is wie erwiaw erode lerelspiaeee) MP lai eeean ae poet ac Sc cure Meh Ne Se Baayals eer =
Mares ee Flowers, 87:7 Palms, $::::.Matting, $... MAGE
Name of Father. ¢ Lope ere, 2 Potties me Rental of Tent, $.. .of aun: Vault,$..].... bis
His Birthplace.2..... 0.0.0. sc scaggeeeeeeseeeeeees se alain <2 eedl ieee ned amee eace reaallgd
“ ‘as G Lining Grave,$4:C&. Lowering Device, $... oe hE
Maiden Name of Mother ZAC MWetiectc lene Outlay for Shipping Charges. ........].0...Vietiizthateted aay bc fico Ss ctvidec ideneed ed Betzee . i Lh alae Singers,$..Organist,$2-977. . .. 2.)
Deg Sessa aks wine ale pe oo Gow og windy Seay wel ae oad Wins ote §.... AS Service §
Date of dine ge Tanta .o% 2m] oF Motor ? plane dailies ela a erat
a te (Date) (Day, of of mal ‘lien (Hour) Telegr., Phone, Cable or Radio Charges..../)....).
Mae" } Remains to.... 0.. cece ceeeeceeecee eee en eee Cash Advanced.....0.0cceeeeeeeeeeeeee eee eafes
Out-of town Funeral Director’s Charges....]].... ae
sc pe gait ha ae idem damier ao Porued Gawyiee fio .0-s lens cak Bale
eRe ee thy vo As gitte led o pate o wtece oie fh mm t Uasclariaiine a ciples se <o1s Vani nak lew is dlNrwig Cla BES wea ea fo
Conners Qemetery a o. OF. fe Ci line Death Notices in... Papers.... os sec be
& Lamatign =, kg Speer es ere Ne are Giisebi hikes Tec fe
Pa See oe oe eee eee ee Cre ee Cees meee nero (1: Came:
G Ni leh dl vel, sahocstaxe Se iC ie eC . oEat GSE OME 5 sy isle wale < cine. ne koreeeMBlamace erabons ae aaa
pata elena Fe 'Potal Footing of Bill.......2..00. SASL NS
Block No.....3-2.--5— : ; aa. a ol eee icone Retin Aree a Lie osu ce cae $ <
Diagram of Lot or Vault Owner. . 2.2.60. .0se eens. Balance ess eis ore See $ Soe) oi
Nisannlloanenns «sd. Tatannd intn ToadArar naro aw Kala