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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

RECORD OF FUNERAL
ital Nowe.. eee eee Mf Yearly No.. AZ.. 0.00 Date of Entry..0400. 7.60 Ss ccccececeese 19:9, 27
ame of Deceased..\.6S Jez, (Ve: MR Ss I ea a aha PEVRIT EE PO Acre
Married C1 Single ¥) Widowed 0 Divorced (What Race)
sitions MEET nies y (ee osbana Wit Widow)
ssidence > oe 4: Lf i fat Pas 3 cf. oe i Wh.. WeiwFE: ea or )0 tet am lesiabi of Age of Husband or Wife (if living).......... Years
iarge t0:..A4,0 AM. Ea Hae ide COHOICe..
tire Loree) eG eh ee iii tC , afr
iggy Hg RAMEY cnn ates e's Gh ewee xy Sires awk Lhe es eaten
der given by: 9m.. CTE ITE So 5: cael Burial Vaultor Bos Js. ye dys. ws Hl, cok ok ee
(or informant) ‘ (State Kind)yw Gocured fy uPr 2G hee ooo ee ev dees ste stance . . Enabialning Body 055 22.0 hi.. + hiaeeas seh PE ya IY
; iy (Name of Embalmer)
Veteran, Name of War..//2....00.000-0-0058. Barber, $...... Hair Dressing, $..... ]....]...
a 2 rr fi -. Dressing Body, $..... Underwear,$...]/....J...
cupation.. Mews beater. S. ER PLS 7. PUG OP DOES Ss bh ol mee pe Me . , Se a eee
(Social Security Number) (State Sind aad Golory. ae
iployer and Address . Pier? tae. deh, Slippers, $i. 666s 6 Testes PQs. cs on ov cate ae tl, Wokasie
Cicck. A, SY. ¥2AM. Folding Chairs, $.... Perpeulin S$ oe a
te of Death: iy «alge (Bans, (489, sehen iat “""". Candelabrum, $.... Carat SB. os clo aie cu leke en <
te of Birth We: 2.. A727. Age. 22..%..C2. Door Spray,$.:.... GOW Bee die es allan oe Sade Ce
(Mo) — (ay) (Wn) (Yrs) Qos.) (Days) . Funeral Car, $.... Ambulance, $.....}]..../.000.
ICOM AE SSE. che SAE eats wc weld ee os eee ase be oe eR Limousines to Cemetery aera or csteias Toney eee lee ie
Extra Limousines ...... SE ae sarc we Se, ee
SPN gis aac caer cra cect ee uo 8 wid ddl A akega sag Die lt
7 (Address) Autos to R. R. Station. ... i AO allem amor aere Nelle
Ugion of the Deceased. .iises'ss sce dv es ste eed ede sa ds Getting Remains from. ...)...0.-2-keel cece etek.
thplace FF. Pein eee ee ante OMeINEIO 6 8s dik oe ca a ew da davies
J } Sipe he Trip te Coronet é Inquest’, fo.) is Poss Ee ee
sided in the State. . ee ee Esau ‘tn aaa Set Box ts Pe 7 Lae Ue rs Un LS . UME Ty), SRS
on ot Death.o4¢. iru : Ai l Me p32 Fox ig CSL VETS EA OW ELS UO abet y 5 zels. pista stsi'< sug) «iano sate yanete’ salt alcete ta eect eta ces
ig Sen Removal Charges re eieds Teele ibte #15 srek walt aise ooh Biles wie cc aals sales
4se of Death: Meas, ¢ areicls ZK f. ews chu: iis e's Procuring Burial Permit.. . Nouibes saad District) Ce . ee)
atributory Causes. teactc iT ed Tee. 0h CALCIO, ee ime es. te Death CeriaticatesNo—— Se ret Lie
‘ te dddie[, ihe bs tractive Her. CMR AINE, Pall Bearer Service, $.. Use of Chapel, §. ..
a ‘i a ae, tif Mich 1.64 9/1€.¢ Gross Total for Sales Tax.......0... . e Oe pte aI
‘tifying Physician.. £74, ig. [Mo MerTro7. ooo.. Outlay for Lot ne pe Vp Goreme, : BOB si¥ Dh Lael sw sak es eG dly 8 He vino Mow: cna ¢
dave: Sree ke Wee ” Ca lek: ety, 2a BOA RERON ie aie NON Goole te Te eu ie ee Ln aA de ales waiere &
hele 5 Pe ; Flowers, $... Palms, $.::::Matting,$... . ....]...
me of Father. .s7..Z¢?. Cri Dit Sarees aw P en ae eek Rental of Tent, $..of Temporary Vault $a 2 he ort aden
Bivtinlnte: tee tee i. ee eo Opening of Grave or Tomb.........].... ...
; a ALL pees 9? Pa F) 2: ibe Lining Grave, $... Lowering Device, $... . .... ...
iden Name of Mother. . Ld ie : . CELE Or Dd: Outlay for Shipping Charges.........]....]...
-R ‘ (jCler, an,$... Singers,$..:Organist,$...l1.... ..6. Bitthplaca’,. 020. de. 2) eats) a Ralpo b oe aa an
RBCS srunerads 1 Hebe ee suid Aes Bat etka edie m. oF Motors tickets, $.... plane Service,$.:..].. 2 [eee es
ra (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charge) i ie Wo, oe.
; } POOR EG os wy 4 Sota d des 2 eRe s sous dle ee Eo, . AR ers, fae ner Sanna Peas
> of Casket Out of town Funeral Director’s Charges....]1....}...
Ne alates (State Color and Number)" "" "7°" Personal Service. 0.6. ca eo dacdsvenceenc cen Saco ayes peeled
BP POR IE ites corn Sedan tmp od epee ed fUhe dee eke taal Ue pene: ane es Conca aMyice de Gh oh ac ce
.etery ..line Death Notices in.. .. gti Bets ae, Weare petals
RE a Rae a eg nec, Ne eM ele US RR mR co ay RR ou Ar
Tat Nia oF oso ee cin a ae Ge a ee
Grave No. Swe! Slieieo ayaa ale tend e Utne ea eet SSE mee es eIbua bl 97s, «pl ghale lee bin ele wine . e nese asi ah eels iat Sut Cheese
Section N Rates Py len, Ue Seal ania ce Movie ale iv utile
ection No.......-. ; :
Total Footing of Bill........... Disnsre ahalel af Bethe ee
— r— Block No..... Peseeee. Tel Nene, OE OP ys ee de $
Diagram of Lot or Vault OWNE eevee eeeeee ees, Balances.. ect $I. <3. . nee,
PIO Es ss wae s ahs dale sree clk PEN Entered into Ledger, page... or below.
PP SAS TRISTE s0se 198) iste We SLay Aw @ Werle Keser au «eye e/eieiae Sib lee eee oe eect Miscellaneone