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Collection: Original Records > Death Records

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

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Page: of 326

Corer eeeeeseeree ee ey Name of Deceased.. Crstece.@. CAPM. ss eeeeceses et. B: <— Sica re en earner nc ita idence CACKt. Mbsh:, [CLaanet Cae betiusbanal_]Wwitel widow Htty Ne PRI cit kre . bee ae a : Cat, an ais Cale Pil olies leew, of Age of Husband or Wife (if living). Years Charge to: = aI ONE sig 2S big oe alc a Blot ee eee = ace 1¢ voutlavs) § y omplete Kuneral (except outlays)... aaa SIAL LM. A, (hdwtl ehh. : naive Sof Casket .9 Bre sas 2 res FOL CG i b ho offs. hee S Sidhe 4 Sieh o5¥ oo aioe 8 er 6 i 2 td tiddidtl.s-reenllead a Z Order given by G7 aes ae Burial a or Box ptember opr SF CL How Secured hee: SE te ae se a subd nn te se oe wan Re Embalming Body .. PL GDE! Smt eke . aaa Poet Tf Veteran, Name of WarZ@.. 0. eevee ceccecceccee Barber, $... Hair Dressing, $. . ].4.¢.Je0.e0: a ‘ined pa Dressing Body, $... Underwear, $i. .[. oc. c clon ces. Occupation Qe). 0 eee AF . a he ile ‘. Suitor Dress.. ie Kgdmatong ccf Employer'and Address. oo. 0605. ieee. .Gicb WME be ede Slippers, $.... TLOSE pes essa meee tlhe ctedhy cece € eu oll Folding Chairs, $.. TRALPAULE a es cleca sult dk ean ete as 43 4230 PR. ? Date of Deathaegy. AS <EAZ.. COS Gayt . Candd@abram,$.. Candie, © oso ob oe Date of Birt “ZEA. Age X3°.9.96. Door Spray, $.:.. i a ee ae, alle) ee ae (Mo.)” (Day) (Yr. (Yrs) (Mos) (Days) . Funeral Car, $.. Ambulance, $52. evn. les were» Services at AEPLCEL ee eee eee eee Limousines to Cemetery.:::@$...]..].05. Extra Limousines ... GD Wis cx lunsiaialts Vac cmeeee ae — é ~ 4 fal eed (Address) 7" Autos to R. R. Station. .. Ae 28 Ree 9) En ae oe Religion/of/the Deceased AC@P7. 0.0.6 cece e cece cee ees Getting Remains from. o.oo eel cae cvecllcceatce sles ces Birthpl ae Loewe re es, cc ste fae aking HOMamwto chs elo dea bare dase aw sfeewe sales as = Trip to Coroner’s Inquest .....Ho oe cee c lee eee Resided in the State, 27. Lette. eee cee eee ee Delivering Box toe. 50sec nice ccc beeecuallac cc pclece os (or % S. oy City or Coun (Years) (Months) r. Si . Plasoat Desth ZZ. Deliver Fiowers t0.5 0. oi. iawecad si enw pace iilcs sic, Mla bes ii rie Removal Charges. (50.4 cdses bce coaceclcaccllec. ce cedes eas Cause of Death <4 ee ted Celilehed... Procuring Burial Permit...... }..c[ecees . (State Number and District) 4 Certif.Copiesof Death CertificatesNo._____. . .. A NEE. ee ee ee (State Physician’s or Coroner's) Pall Bearer Service, $. Use of Chapel, $.. Peeeeeeeesen esses . i ee ee ee ey . eereeveee Chics Total fos Salas Tax Saleen, oneais $ en Certifying Physician oe ZA » 2 ctl a ee Ontlay: for Tots se. rte cae eink wee Pe OS Si ee Coe a Ci” CROEIBTIOM cigs ce sci bn SAG ow veieig:t ie Gle-sas vo otha ble sacle She 4 rt ZA ak ee ee ee Flowers, $.. Palms, $.::::Matting, $..l].. .. heaceger: CHEE 6.6 0k o:0's Silane eins Ge Rental of Tent,$.of Temporary Vault,$.]. .. .. bel” Opening of Grave or Tomb..... ACR j ig a ae hos epee ia Lining Grave, $.. Lowering Device, $.. . .. .. Maiden Name of lother Va Zhe. free tose desedas et Outlay for Shipping Charges. ,,... Ae Seen oer Her Birthplace: LAK. 6. oe occ cc cccccucucceuceuce. Clergyman/§@.~ Singers, ik “Organist, $#2—. . .“/19Z. Date of Funeral 0. i FE Vik Ae Au! or Motor} Tickets, $.. plane Service,$..]).. .4. inte: (Date) (Day of Weel) (Hour) Telegr., Phone, Cable or Radio Charges..]]../.0Ship } Remains to... ee eee eee eee og Na ne re oe Re ed . Dn Size of Cask rc MP oe wwe Out of town Funeral Director’s Charges.. . ..].. el ae 5 at tateCol and Number) oD ie Bs POTOOUAL EAE VICD. a5 0 5.k Fay dan eco vb. Veale’ de aall p.4ckgee Goo Manufactured by :A-# a Cake Por hs, iG MOUTH ALE oc vbvilevvaenat. nn SC A Cemetery z= ,.line Death Notices in.. PRVOTR esciele cc secs vin del esa ices Grematary } AA PR nods ee ee 2 Be a Bis oa: Lot No (Names of Newspapers) Grave No. at <4, phealetaiclle eg MRR® S 18a Sys) oe SEgiel's New Bic sie sialm oleiee seis 'e wales te 6 « e viealla eweteinclhe sate saitteel his oe a ee 5 mee a a A LE 00 OD INO. Ko aie sce etwidle « 7 ” Total Footing of Bill....0.e00 005. LOY NED. Block No... feet ands bey S056 Sis os SGP, 8 OE 8B OS Bi RSH 'e OS eS eee. 6 b6 6 615.6 e Wiehe © swe ss ee gle Se 00 0 oe 0 0:0 po: 6a Cw @ joke ee 6 We eal © os

Corer eeeeeseeree ee ey Name of Deceased... Crstece..@. CAPM. ss eeeeceses et. B: <— Sica re en earner nc ita idence CACKt. Mbsh:, [CLaanet Cae betiusbanal_]Wwitel widow Htty Ne PRI cit kre . bee ae a : Cat, an ais Cale Pil olies leew, of Age of Husband or Wife (if living).. Years Charge to: = aI ONE sig 2S big oe alc a Blot ee eee = ace 1¢ voutlavs) § y omplete Kuneral (except outlays)...... aaa SIAL LM. A, (hdwtl ehh.. : naive Sof Casket .9 Bre sas 2 res FOL CG i b ho offs. hee S Sidhe 4 Sieh o5¥ oo aioe 8 er 6 i 2 td tiddidtl.s-reenllead a Z Order given by G7 aes ae Burial a or Box ptember opr SF CL How Secured hee: SE te ae se a subd nn te se oe wan Re Embalming Body ... PL GDE! Smt eke . aaa Poet Tf Veteran, Name of WarZ@... 0.. eevee ceccecceccee Barber, $...... Hair Dressing, $.. .. ].4.¢.Je0.e0: a ‘ined pa Dressing Body, $..... Underwear, $i.. ..[. oc. c clon ces. Occupation Qe).. 0 eee AF . a he ile ‘. Suitor Dress.... ie Kgdmatong ccf Employer'and Address.. oo. 0605. ieee. .Gicb WME be ede Slippers, $....... TLOSE pes essa meee tlhe ctedhy cece € eu oll Folding Chairs, $.... TRALPAULE a es cleca sult dk ean ete as 43 4230 PR. ? Date of Deathaegy. AS <EAZ.... COS Gayt . Candd@abram,$.... Candie, © oso ob oe Date of Birt “ZEA.. Age X3°.9..96.. Door Spray, $.:.... i a ee ae, alle) ee ae (Mo.)” (Day) (Yr. (Yrs) (Mos) (Days) . Funeral Car, $.... Ambulance, $52.. evn. les were» Services at AEPLCEL ee eee eee eee Limousines to Cemetery.:::@$......]....].05. Extra Limousines ...... GD Wis cx lunsiaialts Vac cmeeee ae — é ~ 4 fal eed (Address) 7" Autos to R. R. Station. ... Ae 28 Ree 9) En ae oe Religion/of/the Deceased AC@P7. 0.0.6 cece e cece cee ees Getting Remains from.. o.oo eel cae cvecllcceatce sles ces Birthpl ae Loewe re es, cc ste fae aking HOMamwto chs elo dea bare dase aw sfeewe sales as = Trip to Coroner’s Inquest ..........Ho oe cee c lee eee Resided in the State, 27. Lette.. eee cee eee ee Delivering Box toe.. 50sec nice ccc beeecuallac cc pclece os (or % S. oy City or Coun (Years) (Months) r. Si . Plasoat Desth ZZ. Deliver Fiowers t0.5 0.. oi. iawecad si enw pace iilcs sic, Mla bes ii rie Removal Charges. (50.4 cdses bce coaceclcaccllec. ce cedes eas Cause of Death <4 ee ted Celilehed..... Procuring Burial Permit........... }...c[ecees . (State Number and District) 4 Certif.Copiesof Death CertificatesNo._____. . ... A NEE. ee ee ee (State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel, $... Peeeeeeeesen esses . i ee ee ee ey . eereeveee Chics Total fos Salas Tax Saleen, oneais $ en Certifying Physician oe ZA » 2 ctl a ee Ontlay: for Tots se. rte cae eink wee Pe OS Si ee Coe a Ci” CROEIBTIOM cigs ce sci bn SAG ow veieig:t ie Gle-sas vo otha ble sacle She 4 rt ZA ak ee ee ee Flowers, $... Palms, $.::::Matting, $...l].... ... heaceger: CHEE 6.6 0k o:0's Silane eins Ge Rental of Tent,$..of Temporary Vault,$..]. .... ... bel” Opening of Grave or Tomb......... ACR j ig a ae hos epee ia Lining Grave, $... Lowering Device, $... . .... ... Maiden Name of lother Va Zhe. free tose desedas et Outlay for Shipping Charges. ,,...... Ae Seen oer Her Birthplace: LAK.. 6. oe occ cc cccccucucceuceuce. Clergyman/§@.~ Singers, ik “Organist, $#2—. . ..“/19Z. Date of Funeral 0. i FE Vik Ae Au! or Motor} Tickets, $.... plane Service,$...]).... ..4. inte: (Date) (Day of Weel) (Hour) Telegr., Phone, Cable or Radio Charges....]]..../..0Ship } Remains to...... ee eee eee eee og Na ne re oe Re ed . Dn Size of Cask rc MP oe wwe Out of town Funeral Director’s Charges.... . ....]... el ae 5 at tateCol and Number) oD ie Bs POTOOUAL EAE VICD. a5 0 5.k Fay dan eco vb. Veale’ de aall p.4ckgee Goo Manufactured by :A-# a Cake Por hs, iG MOUTH ALE oc vbvilevvaenat. nn SC A Cemetery z= ,.line Death Notices in... PRVOTR esciele cc secs vin del esa ices Grematary } AA PR nods ee ee 2 Be a Bis oa: Lot No (Names of Newspapers) Grave No. at <4, phealetaiclle eg MRR® S 18a Sys) oe SEgiel's New Bic sie sialm oleiee seis 'e wales te 6 « e viealla eweteinclhe sate saitteel his oe a ee 5 mee a a A LE 00 OD INO. Ko aie sce etwidle « 7 ” Total Footing of Bill.......0.e00 005. LOY NED. Block No..... feet ands bey S056 Sis os SGP, 8 OE 8B OS Bi RSH 'e OS eS eee. 6 b6 6 615.6 e Wiehe © swe ss ee gle Se 00 0 oe 0 0:0 po: 6a Cw @ joke ee 6 We eal © os

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

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

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