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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

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Total Nees ns 6 sin< vedi ae Yearly nee a eee Date of Entry... eT ors Peaauau an seseeees
Name of Teco: ETN. Zeca ubigé: Pr OE ag Se FEI TP, Re ” eh. q
cate we gigi Widowed 1) Divorced (What Race)
Residence. a ee Dae ie ince Sten nnean sia aubadenraaes EeLzhe. Ctlauhleee
OF ieee of Age of Husband or Wife (if living).......
Charge to. CREE Clases mS ee C j t Fu 1( A tl ) $
7 omplete Funeral (except outlays).....——
Address. laeeatonleor die Ceanilanee 3 a ede
Order given by. Lizz. eee batts Seis: ‘Burial Vault or Box-:.0....0.0c000s in Sea
or informan. “=. -~° (State Kind) <=
How Seca neuen ilseinpehehWeaine + ween eabeegicse¥ oe 1 g Boay Siti sedis
If Veteran, Name of War 427... 00.00.0004 naan Barber, $....-.-Hair Dressing, $....[-.----% e! LEZ eer gape POE or Body, $..5 04.5 Underwear,$...l]...-ccupation eatie. Poh ° SW PORE 50 otis bam bociaG sok seen Coatee is «os
a. (Social Goomriay Number> ene (State Kind and Coior)
Employer and Address.. 02.05 ss swine ote een oie = Shippers, $.....5.. fot RR AA TSH
\ Folding Chairs, $.... Tarpaulin, $i.. .i0i << nice
Zk 2. :
Date ot Des ac ee “@r) i in ‘. Candelabrum, $.... Candies, $......5 Sa, Sa *
Date of Bit rt Mle, Ms kf _ Agezé.%..4&. Door Spray, $..... ee Reet pac eae
(Mo.) os Wr) (rs). “Qos (Days) . Funeral Car, $.... Ambulance, $.....}]....
la Castes 10 jw sto vb ahialh seis wale ee tense ne ie abe Ku iete el eine wwe OLS Limousines to Cemetery...@$...... Dette onli
Splat os ener oo pi, marti Ue ey ae . extra Dimonsines. 2 i yak. 0S Opn dw ose os walle we + ok
eee EMG ee me (Address) Autos to R. R. Station. ...@$..... fee. ee,
settee eter eect ete e eee eeeeeee Getting Remains from........0eeeeeefee eens
0 ARS NS LA AOMa ‘peu sews ep Taking Remains to.. . 0 .escs cece esas ccfeassces
" Ge ; Trip to Coroner’s Inquest .......0ee0e]ee eee.
Ge a ae Delivering Box to.. i200.. ccccercscsecccesiecseces
F arctreal tM Axears) on™) . Deliver Flowers tO......eeeeeeecccceeesie cesses:
a at Removal Charges.. 0.. cc cc ccc ccccec crete cose ss
Cause of Dea Cala Se ie ot a set is id “. i
Contributory Causes. ngs es (State nto Fy ae
Pall Bearer Service, $.. Use of Chapel, $... ees
nah ocak acpiton Games ae Seeaee < as Be aE NEADS ee a an a ie
Certifying Physician. Z4aaox. He faced, MMe.. po 7 ee ee eee tio ieee
1s Add Lt : RMUONON 520) 100 be said owe: SU binio ee held cedig< oy at ecalicg
Bis A F Ca Gr Oe apis ee a Flowers, $... Palms, $.:.Matting, $.../)....
Name of F 2 hie EL AEEL occ enccecece Rental of Tent, $..of Temporary Vault,$..l]....
his Wicihedenal Pe rcbdetted, 62k. cl ovckece ccene ck Opening of Grave or Tomb.........]....
Birthplace
Lining Grave, $... Lowering Device, $...}}....
Maiden Name of Mother Yahi.. seerens Outlay for Shipping Charges. ........H...
Her Birthplace. (267.0.. fJooesveveesersereree eer Scag meee eae
Date of Funeral.. be oka wie aia a] oF Motor f Tickets, $.... plane Service,$.../. ...
(Dai (Day of Week) (Houry Telegr., Phone, Cable or Radio Charges..... ].. Ps
* Remains to. Gasti Laake cece a ee ABD PREV RNCEG ©. hii jeje eck eG Gea ely ob ¥idle.« ¥ Couto ces
Out of town Funeral Director’s Charges....!]...
amiicn Baan, (feateColorand Numtes> = .:S*:*~*«é‘E:CP@maa evict e cee cece eis oc ees
RAE nia Seedy Ar bn eae SA Niidel eed va:6 w 9 EEO a = a ae eae ae poe ees ey
vo ee Lahde ls veer ae cinema elite te ie
G ‘ Obs roi eiece sl bceeie ls oie 8 6) 610 06 4 0 6 0.8 06 00:6's 0 6 6 S18 bee @ 0 Bee 8 6 & 6 ties & cis 06 2s 6
eis s Mgr e iin l gtk a5. beta, ome
iti > pacioh ara indlale aie Total Footing of Bill.. 2.2.. ..0.0 eee gl. 5
Block No..+.+++2+.+--: Reet Co etic, MLE Diels Ses Ala aeiaty $
Fee belle y onv-eie a « Bal eee ee
Cee e were eee eee eee ee sese sees eee seeeeeeseseesse Entered into Ledger, page. wee Or below.
ORR ee en ie ee ae Miscellaneous. .....ccccccccvceccce OK oe a