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Collection: Original Records > Death Records
Mortuary Records 1957-08 to 1959-03 - Index Included (322 pages)

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Page: of 322

TRF
tit RECORD OF FUNERAL
Total Nos. ..sc.sceccs Yearly NoZ9K.... Date of Entry... pig RIE coe, was tage
Name of Deceased. £fatet.. WY.. ttt ele siduels det's wriesSGn gee aes EASE oe Lele eat
00 Married CD Single DD Widowed DD Divorced € (What Race)
Residence. . D)8usband[}Witel]widow } Fa ETE ET CR et vib pus alley cx oie seule dees hen Oe GTS se xed TX peat ee oh eer
Charge to. tcherti. SJ.. Abate. coc.. OT aaedladiaudties ;
: . utlays)...... —
pa . # . eect! arene gatas Wareberine ae es ee
‘Order given by.......-. a Hor UBER, <Pome ee apo oleate” vai are te AS
£ ah aig (or informant) ‘ age sayben (State Kind) pe
PROM SOCUMOE <2 victie «see ser ie he dete tees ho, ode: Dang BOG.. rier yn Bee
If Veteran, Name of War.... 000 ccccvecccccceeecse Barber, $...... air DTESSING, }..----/].--++s
. is Dressing Body, $..... Underwear,$.../]....
ETI iss aise sie mis tated ys sated inn 4 eh etd y bean a arnt. i en t AM
(Social Secuitiy Number” ". Suit or Dress (State Kind and Color)
. Employer and Address ......0.ccceceecuceeeucees Slippers, $....... Bn, Bos an cigs Bn oes
Folding Chairs, $.... Tarpaulin, $.... A Sree,
Date of Death eye AG. SRAD.... tice’ *7"} Candelabrum, $.... Candles, $.....10...
Date of Birth.......6... py 7 a Door Spray, $..... Gowen, Bois ae i pe
(Mo) (Day) (¥r.) (im) Qos.» = (Days) . Funeral Car, $.... Ambulance, $.....f....
Services-at........ Pots DN aipuainy' s cantetsysid anesnyade ieee Limousines to Cemetery.. . Gee. cutee. oe
lergyman. . Sez eg OO aa IS Extra Limousines ...... BE Fe Shee sia fie yee
“ a sy (Address) Autos to R. R. Station. ... MBER acs intas once stata Nt ee
Religion of the Deceased. . . Cetera. oes cece eee ee Getting Remains from...........l....
ny DL an ah eee RE 2ST apiece Opa! Taking Remains to. .. 2.2.0.. 0. sees eee fee eee es
aie Trip to Coroner’s Inquest ..........4..00 5
Resided in the State. . ane ay City or County) > ‘ja :: (aton ths) Delivering nt ie a Oe SEE ee ee
Place of Death J = Deliver Flowers to......ccccceceeceeecle oc eee.
De ste! Me fea ee ep eae ep sek en RGMOVAY CHB IC. 6.6 6 oes os eee ecimerenevee Hes cclech
Cause of Death: ...... Pet eipe ye beg DE sah aig a Keon 6 oh ee ree i fa “ad bibieh' cc
Contributory Causes..... alone + enleid. oie Mom hebbet's come c= gees “— ip Pan's Coser ord
Pall Bearer Service, $.. Use of Chapel, $... ene’
as “ : ; irieielirurs ‘ Beate ee 1 pa 8c tee ental isi Poiliedee Wate ant? oy 2 tas ;
Certifying Physician.... ae ole ees naa asa tee ps he WA Se fxn ha Qetbenhe fh ete uo
: DOIIN SS "Sarl pw wn nid y oS him dangle doe Kaen hS a aR ok.
His. AGAPOss. 5 0.. cove ceccccsccccews Vaveseutice + slaturels's'6 ace tiene.. Pp alms, en, Matting 8. ha
Name of Father...... MN 25 G/T pn ecco coal Rental of Tent, $< of Temporary Vault, $ . MF
—_— Opening of Grave or Tomb......... a aC
BEimBIPM QINEE so Siicere sins o.sp nahin de aD hawe savecawes cae Mpa. a temo igh Lamsiie: Devisesss
Maiden Name of Mother.........0. abelian Slee Outlay for Shippjpe KO ios te a lh
Hher: Birthing: 5 4.0 6 & siacedeid-es winaled one gles orcbod Rall re ae apa? a erik Fees. -» LN
Wa 3 ZO, A rt Sf 30tN,. % Motor ICKETS, D.... plane Service, ote cine 4g! ahs ‘iw te :
wm ram (Date) Pe sai (a Hour) Telegr., Phone, Cable or Radio Charges....]. ....].
see} NR asta nc sake regs & HORA Can w ec cent cee Cam AOVOOd oo seins oe dcctwakleye ee E
Out of town Funeral Director’s Charges....]. ..._. .
ar of Casket...... tingiieas . ot Personal Service...... aba aoiahtedie'e’¢s'n tM FH cde
DMA aR OT Mi io ae gus tye sa coh cates LP) oe cde, betas bale» vetalersaiernn decal nici, Abii.
Cemetery \ CP a Eee eee al ae line Death Notices in... i Wee ee: A eee
) Lot No.....4 ava Og ce ca, « SE Bis dee EE ip ate
G N sve ele-&. 0.6100. & bin h oP ee CEH Salk © F.9.0.96 6 He Ok t.e © Sip 0 Te Me 0-0/6 ea bless H eae Fie ms
PR yi a CE RCE A eh itll ceri Tare Z
i Ga cg hae Total Footing of Bill........0.0 ee. BLA S. s
ey Rt i het ot eae goal us ig :
Diagram of Lot or Vault as Owner a rs Balance Pehl hae gerd toate $ eta ball i
I Dyes nShanvvncs 505% 001 RSs atone eine 2 Entered into Ledger, page... or below.