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Collection: Original Records > Death Records

Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)

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QOO199 RECORD OF FUNERAL stal No..e.ee see ees ry Yearly No.. A4Z%... Date of Entry. ./LU0. B2.ccecececcececeeees 196 es n + f ame of Deceased.. Will ihn.. B.S ees ye am Kr a re B32 0 Married oO Single (0 Widowed D4 Divorced (What Race) deidetiodl Cer rrigats alee nso Rac tu ey a oa Dette eee e sees teeta eee e neces eens Yi ; Z / Ie eee aye See ess of Age of Husband or Wife (if living).......... Years sarge to LU 8 PG tof fg. FOI.. Pee ae : : et St omplete Funeral (except outlays)...... jdress.59.02,7. LL. Ate SA. CTA. Kadler . —n. l <2 / a ie. v4 RAE Sac lecnss vin elm alee Gre Sins os v a8dvie odele oe ath eS EA rder given py. tS, 2.600. Ce. FR az ghee. Burial Vault or Box € ad feel. Lijec le. AS . AcO?. or informan tate Kind ow Secured. : fill arA ES shaehnina ivy <kG.5y ats + ont nirt aes Body .. fia ai SE eee ee: Fe Seen Veteran, N EWar eGR 2 ccs cence buns wands ADE, Pe. ose wes cess air Dressing, $..... ]-.-.+-[-esees eer 3 eae! > + Mit OA — AFP Dressing Body, $..... Underwear Suc.. 2 he weet ceupation 6 a yr.te. 27. QQ SITUCRIOR..0. SURROP reds so. eka es Seek cln ete + Stoll tiadhs aoe SG eo aie Fay 0p dl ad (State Kind and Color) mployer and Address . 7. SORE IF: CP OF oN Slipperay So. dno oes ins BFE Be oats doe 4 ees eo oes ee s SGLc “sy Folding Chairs, $.... RSP PAUL NS See os ee pelle ele oiecs suetsse ate of Death. 7% ch / aan F ES ay, AIS. FH) Candelabrum, $.... RIS 5 Care ens Ry anil ate ewe ate of Birth. “eho. Ab, LddkéAge 7 #-//,0/4. .. Door Spray, $..... NA MTOR AD ps ctl ng ¢-ruedle elatca bel «es Qo.) (Day) yr. (Yrs.) (Mos) (Days) . Funeral Car, $.... Ambulance, $2.00. 0h ells cl. cliente rvices at. Xe i fre 0. < AEA. pli. pe sent e eee anes Limousines to Cemetery..:@$.. 2.2.2.. . ].. 0.0 -[eeeees : ee gt eee 4 RN Extra Limousines ...... Ce a el phat SAU SLES, "pane sci aay Me é 2 eric < re (Address) Autos to R. R. Station. ... CO are) cores Ex wail to) tercbe to Rilersve ole eligion of the Deceased. Doe wee eee e eee ee teres Gettiio Remeins from. so.. os fie ced case MMs cine ale oly ws : eee Dare ey io Mi Variety RP a aie cA a4 ‘Trip to\Coroner’s Inquest. o 6.5. foie s sonics a vulle’s vcore so eee ele esided In. the Statew . 332.62 SAS. oe cee ee a Delivering Waet0 oie sides lle fale ec Vd amiwilleg dee. ope wees » (or U.S. of ity or County) (Years) (Months) Walivor Wisgurs to lace of Death. 424.0.. TOGA eee ee es eee 2 os ‘ 4 SEM ween e TE Si A eal ah asl . aie rect le elias ause of Death: Cfretl@l. : Ltt: Ot Dt -Procuring Burial Permit. ....... 0.000 effec eee e[e eee ee fad Ze Jo fi! poe \ LCertit.Copiesot Death CertificatesNo. A.ee ontributory Causes. ne 24 iA € e/, AS, JY : Lhe eS. a = (State Physician’s or Coroner's) mention 4 ea Pall Bearer Service, $.. Use of Chapel, $... Le ale Behe s Sudesh mag as pce oe ae OE TS SO les f, Coat Pag ertifying Physician. K, Abd NIC -+5+++) Outlay for Lot. Udi Sorter.. cece eens ee a oe vs a VALI 4 ; mes MRI AUIOI Giles Sas. alis aoe pies los nl nie, ¥ Ae! oie) -' 4 amie pn De Bra8 ole 4 aR 3 hela one ea Le , -~ “es"*" ". Flowers, 9224 Palms, $.:;.Matting, $...1]. Pe). Ore2. ‘ame of Father. Z "Pi 2007 LAS, ~<A. PON oaks Rental of Tent, $..of Temporary Vault,$... /f...]... tis Bi Wd Ae eg ey i ay Se eB Opening of Grave or Tomb.# .€4¢8.27.G.. . . .¢57. Om. is Birthplace re Wa ¢ oy Z Z Lining Grave, $... Lowering Device, $...]}....).-.00 Taiden Name of Mother. ft ag — shes LLU T whet Outlay for Shipping Charges. ........ bg! pest TR aa nel Clergyman,$...Singers,$.. Organist, $3271), . . S7].ee?. fer Birthplace: .. sal Bees ntl a dite: ex Penastel ie oes tiated! Railrond Ti et. Aero cont Jate of Funeral.. ZZ VE why LEER.. 2, con 6Bi. F Motor J IKS: Petree tas plane vache ssh cata RO ta fac tly wo (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . ....]--+--+ rae i; Remains to. see e cece eect eee teeceeceseceeees he Seal RUPE IOEEEL LS Marea lel tes tch din ace aia Y orbs FAS bo TGs erg OS Ries aoe ize of Casket. 27% SE Aerersed Ga Mey. Ha ae ean: Satomi pened nana "(State Color and Number) SEMOM A GE it ees 215 sec Pens ee o's no's Sed Noa vinta ee Janufactured by: : -S@etZe. Cxeshase ta ‘gk. ot Rae phir set's ba « sien fins Ve odie oteltie'o lal ous Olle weidnebowe tes co Eee ie ace ee eS ieee Wt ee MS RC a (Names of News: Ts EGE SINTG AS Pete c Ph wie oie ceo cfene’e. Mietale Seg AEh gps sue ees aighe aes E ris 3 Br ao ile tenet lech abata os] eels sre G Nowe cc cece cccccccn. DEDTERetttteee ee eeeee reece e eee cree ee cece celle ees PAS ie, ada RES : ees nee eran Pd ete coe Zles . ae ae ae Total Footing of Bill.....0.c0ceee eee 3.482).. oc es eee Block No..... APE th cs os $ Diagram of Lot or Vault OW TERETE love b ehdetee cte ea Walhines os. eo $ Jae es a Miscellaneous. Se Entered into Ledger, page ed epg or below. ee ee ee ee ee eee ee eee eee eee eee NV TNC Us Ta SHE NSS ec oceania eo red tacte oj stuly Isl 9G ualette cM obs ey ete eae a tel