Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1955-07 to 1957-07 - Index Included (324 pages)
Go to the Archive Home
Go to Thumbnail View of this Item
Go to Single Page View of this Item
Download the Page Image
Copy the Page Text to the Clipboard
Don't highlight the search terms on the Image
Show the Page Image
Show the Image Page Text
Reset View and Center Image
Zoom Out
Zoom In
Rotate Left
Rotate Right
Toggle Full Page View
Flip Image Horizontally
More Information About this Image
Get a Citation for Page or Image - Copy to the Clipboard
Go to the Previous Page (or Left Arrow key)
Go to the Next Page (or Right Arrow key)
Page: of 324
6 te —
os RECORD. OF FUNERAL
Total No....seecees” ‘Yearly No. oo ee or ge oe pa 1:
Name of Deceased. QAI.. ECP Bee cette cc eee tt tte ee LMA FMM ba vs.
Residence 463. 7 LostusbangSWitel]Witow) eee eee cece ee eeeeeeeees
ore ot § Age of Husband or Wile (if living)........
a Casket ALG a Ne Cg tie’. oo vec eccccees -ie
‘Order given ie eet, picenrheyoe: ae Burial Vault or Box » a Seger gtceeee eee. AOL
(or informian * wild Ra
te i
How Seciired Jit: papel Fe al ant WOR eR oe pie a Embalming Body .... : <i ENG Leeae Suis og ait cinta ols .
See
™ (Name of Embalmer)
If Veteran, Name of War LQ“ LA. eevee chi ees ore Hair — ue Bes FSS :
i ms uf ressing Body, $..... nderwear,$.... . ....
Occupation crac tte eees Oe OLRICE, A ee ee a ee. fc“ / ay (State Kind and Cojor)
Employer and Address .... ee Slippers, $....... Fien8 26.5..) ce as 4
: Folding Chairs, $.... Tarpaulin, $...../}....Dateot Death feH o&, LO is FE Ceiba €:..: Gale Sle
. Door Spray, $..... Glovet,\S.2.ccae5 is eee! ;
Funeral Car, $.... Ambulance, $.....}}.... r
Limousines to Cemetery.:.@$.....-. Je..3.-]‘Extra Limousines ...... (Co) Ia eae . ard i
i Autos to R. R. Station. ... GE Gh ann Maapoallt cotta :
{Religion of the Deceased. (Cog eOie+ 2.. 1-2 eee Getting Remains from........eeeeeeefeee see
‘= BR Mts oy le edhe te old Taking Remains to.....2.-2ceceeeeeeeffeee eens 1
, ee ree Trip to Coroner’s Inquest .... Se Feel, ae sc een
Resided in the State. oo.. cis oe cos oie venice asste gene oe eS ee ee eens Manin f
(or , City or ) (Years) (Months) vf i
: Deliver Flowers to... ay Socard esl eet et acd ca a eer Mestre :
Place of Death, Ze? AM hat stp penelr Removal Charges. :... at Sie tee eee TOMES :
Cause of Death. .....0..ee eee ce ai ey Procuring Burial Permit, . ‘3 .
‘Stage Number and District)
Contribu iae Obtee Eee: ge. cece Deca: —___Certif. Copiesof Death n CertificatesNo.— . Ue :
Pall Bearer Service, $. . n Use of ¢ of Chapel, $. BIAS!
Gross Total for Sal Tax. ie aie eae "
Outlay for Lot. Vives Deseret Ba
Cremation . ee een eee
Flowers 45. 2S aims, $.:: s% eas ; Matting, $--:. . 1. «237
Rental of Tent, $.. .of Temporary Vault, $38. van
~~:
evede
eee ow RAINE SENS AJOV ING, PD ee eee line see eels
eect 22 Dlang DCL VICES Ds 2 oe ste ew ee eo ope
TW