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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

88 NOUCUVUNY Ur FUINLNAL
Total No.... Ne io vy Yearly Nos ..... Date of Entry. nde OL. a dae z each .--198h
Name of ER me Pe PO Ae ea Ne is ee Se etels aud
C0 Married CO Single =~ JK) Widowed D1) Divorced (What Race)
Residence. 4% ¢?. ana A id eens tanec, ty te ce Hier nile Weiss aha solle eae apie ieee
d) ies cae oo eee ET of } Age of Husband or Wife (if living).. Year
Address. 3457 £ Dy, Ba. ot Give. bs “Zy Complete Funeral (except outlays)...... $
tae g Kr j MOON tarot seer as ee me sate seis a oc ee ele
Order given by.¢) 4rcks:. 7 ee pee +0 See.. Burial Vault or Box............H... 1..
a orinforman LXS Kind) .
How Secured. 6 ALS ooo ec ccc ccececcecucescecs Embalming Body .*. Nemame€e..c.e.f. G2) em,
# i (Name of Embalmer)
If Veteran, Name of War.. 2282.. 0c ccc ceccecenebs ee es a as Hair oe $e. eee eee fees
. ressing Body, $..... nderwear,$.../. .... ...
Occupation . Ch: head. tet te tees C20 aes Ore . Baldor Deka: ss wah aoe ke Woe pee
Le Ds Ay Security Number) (State Kind and Color)
Employer and Address ;: eee Fe i ee Slippers, $....... BEG vis i aiinng, Delecs Mites ale Uh aed «
iy oS G5F ZF 30 A KM . Folding Chairs, $.... Parpauln, Soo ees. el See ee
= sesin bia oa a ta ae ‘ T2), es z oury 7” Candelabrum, $.... Candles, $.....-]]..00.. --.5.
Date of Birth \) Gas<~. 22 8 JoAge XG.. 2..c47 . Door Spray, $..... NMG OE 8 5 Les, o nw tbe a oe ed dees
(Mo.) (Day) (¥r.) (Yrs) Glos.) ays) . Funeral Car, $.... Ambulance, $...../....]...
DELTA BGS ig sles Suse OS VON we clk coe cae dl Limousines to Cemetery es @ $ Lee ee ele. ae tae he ee ae
Extra Limousines ...... Bias o> ny alla Poca lee Sap
. e a aoe Ma at fs Pile Panel eee SA Se ie ally ee ME
s ree ok, (Aazess Autos to R. R. Station. .... Aap eel ener ic emf
Religion of the Deceased.......0. 00 ccee cece eeeee Getting Remains from: . .. 0.0.. ce ccc cllec cee cde eede
: Taking Remains to oe. oe. cect cas ce Wied. wee
MOMMIES oss piecelniorte sg ace iy Wa hwy eM aos cd va RAL
ye = Trip to Coroner’s Inquest ..........l.... fleeces
Resided in the State........0..00! Va). Dats Arieliverngiat Pkt. ele AR ee ee
fr (or U.S. or City or County) Cae Daiver Mowat Gata abe ato tn Gas
See j oa a {/ Weoags . APENVEr'DIOWEIS U0 0. oe ca ee cece nc ceccells . ccs aleceee
sees rain ot ieee ithe el xan hc “ala ee et Removal Charges oi).. 4 odessa eeocu. eed.. ogee
Cause of Death. . 7//¢20-uZfuce’ Mor oo Procuring Burial Permit.. Stadia ne wake oe op
ewelgnany SS RO ari Eee lw . ‘ Number and Distri
Contributory Causes....... i é Dai ailewee ee cat. Bebe eg Death CertificatesNo. Pa a ae ase
Pall Bearer Service, $.. Use of Chapel,$...
i ea are tale < ato Total for Sales Tax Waa Mead acl ihe Pe yn ate ices Salta age
Certifying Physician és leh ae cies . RAY, Be TG os ike ws ed ease y slo's OE wr BS wap Mastic Cocalo:
His Address . ps Aaeeeae nay) Cremation SI SiG (o91e ia 89 bo: <i cl's 0 60,4 \e 61 ile on ie'lee-'¢ ostlaeceis z/e cle abetaie
= ite x ae O ge eo ie eta Flowers, $... Palms, $.:::.Matting,$...l. ....]...
Name of Father. ./ PN Aacitind es FUILALY oo scescscees Rental of Tent, $..of Temporary Vault,$...... ...
His Birthplace, Waset8..iv. Opening of Greve ot TOMB 2-5 oo. sae s+ oly sap 05 . e
ee Ae ‘ i aa Lining Grave, $... Lowering Device, $...]. .... ...
Maiden Name of MotherZ4,..2.246 Huthe.... Outlay for Shipping Charges.........]....]...
: ane Cle any $. ices Singers,$..Organist,$...1]....]...
Her Birthplace.. Z2062.0.0000.ccccceceeecenccecees Ralroad . , : ie gers,$ Non $
Date'of Fumeral. i. 8 dill ooo Da wos bc cewiontee M. oF Motors *ICKEUS, >.... plane S€rvice,$...}1....J.00
(Date) 7 Day of Week) __Gour) Telegr., Phone, Cable or Radio Charges..... . ....]...
su” } Remains to ([ivadke<. Ai nesad, . RARE AARC 5 is 5s eee ea los cs ceakes cM. Peed
Sixoiof Casket Out of town Funeral Director’s Charges....]. .... ...
Tee SS (State Colorand Number) 9 Personal Service........eccccecee ee. . EMD hac’ Spi
Manufactured by: ora ators slereree aie Gee eaehuar es: oi erarh dee bie alle aes pele ehueee #9910 isire lle se) ¢ eieis)0 ahel='¢v, v6 eiSonj9).5 41'e1 alll ein ola eee
Cemetery ..-line Death Notices in... POpORe . ). och ste obec e
eae aS ke geo eere e e a eet = ne eae Ae gy ee
(Names of News: TS)
Bai Nos, Hie aed hy a es Sais gd me eee ou) RCo
G N ene aw 8b ole wie ctacdin ol Se AMS © wees 6 ow Sse oa oe the wih 600d ote 60s & ore ll eee © olnMecee ae
ap a Rah fo Se CR alge ene
a ie ees Total Footing of Bill.......0.0 005. shi fae 3s
“reget reac Block No..... rer ie i aR PEN cat Pam eracmn inet aiirhen Wrtht ym $
Diagram of Lot or Vault Owner ee ee te er Balance ee AT Ie $ is GO. an
Miscellaneous eo OS DOR C RESO RO Cee cere ree secoeeeccececccer Entered into Ledger, page... or below.
BS SIE Hage ee ec ot HE (oar © ie eKaMereNsl slis.'s's0 . a,'s eh Big ei ota Sake iatione bia lpal’ avers! alten PECOUANOOUE es eel les ea ac ee ete,