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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL ee ‘otal No.. 2.200. goal de Yearly Now.. Z..+++ Date of Entry. — + SOT. Lao. os a EEE 197 fame of Deceased.. lex ae ee: bth es ; ha LE po eS Ea ey Ze Mele. A , Ser meet ive bane al Married —" 1 Single _ O Widowed 1 Divorced (What Race) esidence: «x. “Mtdad. es AE sel ge ll Ags oe et bcs Peterlee eas gk Sisiallec apa Mie cel 3 ‘, “4 OF Seavncs chs tteusetaecs of Age of Husband or Wife (if living).......... Years tharge to: oe 2s 66 bes oe AL, Vet iy thiabereh as 9 C lete Fu 1( ‘ 4 omplete Funeral (exce adress, OC, NOS MOE. nabhtcee’ Valle) SH ST oP Helo, Seog MopaPeue gclieie) olbrecs. Walsescisl coven aa iic:, aioe 746. . .E. oe, \rder given by. Si la ate da © i mas C. % rat Nera. le Burial Vault or Box . (2 ie A erent. «. e en ere orinforman: Ss a fow Secured: AVA ET.. eseeeeneeteeenereente: Embalming Body ... “ea iar. Reet ame of Embalmer f Veteran, Name-of War PEI outlast pee Barher, Sic i3. , ds05 Ss Hair Dressing, $ 5 RN Gees SE WI, nih as 4 L353 <Tabs Dressing Body, $..... Underwear, $.... [....[e.00. Yecupation . Cas — a or 2 Reed eo Nose Suit or Dress..... Guekidndeaay ees ae! imployer and Address a, 77, #. srypod ay aia fates. Slippers, oh vee 5 ale tees PROM, Bri a eo A ead ei lees be xae 2. $@pAig Folding Chairs, $.... Tarpaulin, $.....]....[. 0006 Jate of Death. he G.. AL SF.. al na 3Se ale Candelabrum, $.... Waudled, Fiinicef cael. cawavelinea'cs Jate of Birth. Oote . ae a Vel bee bi -¢© . Door Spray, $.:.... RMOO OR ic eidaie's. ote Cond oe ome TP me “(ay)” Ws) / (¥rs.) (Mos) (Days) . Funeral Car, $.... Ambulance, $.....]]....J..006 ervices at, : Pum, Tite. he Mba. -++255+++-[ Limousines to Cemetery..:@$......] 0.0.. [eee ee 5 Epp: . y,4 beaten, XP hon peafey Extra Limousines ...... KS et a ooerell. ule WM alee raiere aye: e ee ddress) “. Autos to R. R. Station. ... Go Be siens sree Acces Malas Oto Religion of the Deceased .~ fz one Getting Remains from. .. 0.0.. cc cece ce cclleccacccleccces 3irthplace . OF et Sete al iy Ll ee Taking Remains to....... 0.. .ccececclleecececleccece a saad : pep Trip to Coroner’s Inquest ........2. oo cece lee wees Resided in the State.....7. fe £. Rie tenant ol.are! ule tipteaa, Delivering BE TO oils’ ee Ue oe ees SEs ) (or U.S. or be or€ounty) (Years) (Months) Deliver Risteate cc. hu een Spe ee 3 jou SSP Reh) Oe ee SiMe é Sone 6) We & 0) $US wR Mle ere wees [ie mele ere ‘lace of Death a2 G2. earth # 7.) Mes ¥4 “ Kewog Removal CHAI. oo ids be occ owen Mlecle nce aloubee’s Jause of Death:Coe4e Ze ») U gpCte. Mele 5 Procuring Burial Permit. ee aN oe wd os Men ns caf s x * tate Number an Jontributory dgitete 5; Hy sce care ea ae __-Certif.Copiesof Death CeriatesNo ee, lla rete a Anh Me, (Oe ae peceeeeees aa: Pay ei cern ey Lic Ee. Ce. fe: asi &$.. Use of Chapel, §... i a a Gross Total for Sales Tax.......... Whi.. 0 tig ss Ging Physician. . Ba come “ ota tar Bibs ahs tl eg clk Oe OD a Hs hk aioee:' ics NR MRQ ESO Re sd ve afk Nucenig aorta’ hive Melt wwlacs h deciles ok lie eenlia ok payne . Flowers, $... Palms, $ .% :< Matting, SoS ill os ceace alee ean Name of Father.. F Sathe (AM . Rental of Tent, $.. .of Temporary Vault. $s. (tut i. leven we His Birthplace.. 77 =~. at: OM Sigal Opening of Grave or Tomb +¢ .C(;<--7,.., BS, . . Ak, PRE Sale ae 5 eerie lemme Dd mee er Ie sei Maiden Name of Mother. . ‘. Outlay for Shipping Charges. GM eaes We ete clot pate osees Her Birthplace: ... teen ay Siacitna tate . Clerevman,s sales Singers, $5.“ Organist, SH. SISA. ee aera akg sote SOL PRG. Lh ce fr 0 Motor} Tickets, $.... plane Service,$.:..]}.0...J.+++5 Motor (Date (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... .... .20e+ ship} BAI HOH ola bis-5'4 al dels loae ae Sk ae Ae shone. SOR AAVATIOO oo in yesince vanes ceeds act N ccs uoa hy calle San of Casket.396 1.7 el Engr ick aoe ee eerie rectors Charges.. . 1.. .. esee. Zs phe ‘a 4 eS Pea nettles tesa. Pee rier a, Men cel areca Mamta by. S67 ot C.K..) veces, Vente (NERD. oN SET HO. se) 22.€. KR. leroy eee: noe tio a hea Not nt ae he sae . i Grave No.: Ss. Lok ci Gi RMD aint cl din W.6eln'e Sutin kone ahh ee db sie a@le whe Cl ine Alemeee ela Coe ¥e aon Da Osim ee, ol. fh ae, £3 1/82. ilar ic Total Footing of Bill........... Sane eh 5 —— Block No..... th as 4 a8 Mi Ae ed a a oN $ Ws Diagram of Lot or Vault OWHEE Vadis Usiecctas dina motte. Bal age cee $ LAX 3p — cellaneous. we Pee eee eee ewes ee re see reese ee eeeeseeeesesese Entered into Ledger , page to or below.